Individual provider · NPI-1

Michelle Brantley, RPh.

Pharmacist · Suwanee, GA

NPI number1679831689
StatusActive
Last updated in NPPESApr 26, 2012

Details

NPI
1679831689
Entity type
Individual (NPI-1)
Name
Michelle Brantley
Credential
RPh.
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 26, 2012
Last updated
Apr 26, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist018925GAYes

Practice location

419 Golden Meadows Cir
Suwanee, GA 30024-2269

Phone 678-207-8532

Mailing address

419 Golden Meadows Cir
Suwanee, GA 30024-2269

Phone 678-207-8532

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