Healthcare Provider Details

I. General information

NPI: 1184241440
Provider Name (Legal Business Name): BRANDON G HOLBROOK PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2020
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

571 E MONROE ST
DUNDEE MI
48131-1309
US

IV. Provider business mailing address

23955 HURON RIVER DR
ROCKWOOD MI
48173-9701
US

V. Phone/Fax

Practice location:
  • Phone: 734-529-2753
  • Fax: 734-529-8184
Mailing address:
  • Phone: 734-775-5284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302412558
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: