Healthcare Provider Details

I. General information

NPI: 1962803049
Provider Name (Legal Business Name): JOSEPH BRANTON JR. PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2014
Last Update Date: 09/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 LITTLE RD
TRINITY FL
34655-1864
US

IV. Provider business mailing address

3014 OLD VILLAGE WAY
OLDSMAR FL
34677-6028
US

V. Phone/Fax

Practice location:
  • Phone: 727-375-1609
  • Fax:
Mailing address:
  • Phone: 727-255-9232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS51836
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: