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NPI Code Detail

MEDICARE: PROF. BRANDON JAMES SUCHER PHARM.D., CDE

MEDICARE: PROF. BRANDON JAMES SUCHER PHARM.D., CDE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistE-09509MS

General Provider Information

NPI Number : 1922005065
Entity Type Code : Individual
Provider Name (Legal Business Name) : PROF. BRANDON JAMES SUCHER PHARM.D., CDE
Provider Business Mailing Address
First Line : 4758 SEA OATS CIR
Second Line : APARTMENT #104
City : WEST PALM BEACH
State : FL
Zip : 33417-7509
Country : US
Telephone Number : 561-803-2721
Fax Number : 561-803-2703
Provider Business Practice Location Address
First Line : 7305 N MILITARY TRL
Second Line :
City : RIVIERA BEACH
State : FL
Zip : 33410-7417
Country : US
Telephone Number : 561-422-7261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 07/08/2007

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