Healthcare Provider Details

I. General information

NPI: 1942123591
Provider Name (Legal Business Name): DARA BRANDT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1605 N BROADWAY ST
RED OAK IA
51566-1027
US

IV. Provider business mailing address

1612 P AVE
CLARINDA IA
51632-5076
US

V. Phone/Fax

Practice location:
  • Phone: 712-623-3370
  • Fax:
Mailing address:
  • Phone: 515-290-7467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number25616
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: