Brandi Kaye Lodge, PharmD
Pharmacist in Tucson, AZ. Individual provider (NPI-1).
NPI number1982178331
StatusActive
Last updated in NPPESJan 18, 2019
Details
- NPI
- 1982178331
- Entity type
- Individual (NPI-1)
- Name
- Brandi Kaye Lodge
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 18, 2019
- Last updated
- Jan 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 022701 | AZ | Yes |
Practice location
5301 E Grant RdTucson, AZ 85712-2805
Phone 520-123-4567
Mailing address
1814 N Santa Rosa AveTucson, AZ 85712-3531
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