Healthcare Provider Details
I. General information
NPI: 1023731072
Provider Name (Legal Business Name): BRANDON HRAPCZAK PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/23/2022
Last Update Date: 09/23/2022
Certification Date: 09/23/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6045 N SCOTTSDALE RD
SCOTTSDALE AZ
85250-5410
US
IV. Provider business mailing address
6045 N SCOTTSDALE RD
SCOTTSDALE AZ
85250-5410
US
V. Phone/Fax
- Phone: 480-998-1670
- Fax:
- Phone: 480-998-1670
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | S026137 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: