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1730391178
K BRANTLEY
MANDEVILLE, LA
NPI
1730391178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1835G0303X Pharmacist, Geriatric
(Licence: LA 10854)
Enumeration Date
2007-05-06
Last Update Date
2007-07-08
Business Address
Ms. K BRANTLEY BS Pharmacy
2045 HIGHWAY 59
MANDEVILLE, LA 70448-1909
Phone number: 985-626-9726
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Mailing Address
Ms. K BRANTLEY BS Pharmacy
1000 N 2ND ST
MCGEHEE, AR 71654-1606
Phone number: 630-985-7333
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