Healthcare Provider Details

I. General information

NPI: 1518889443
Provider Name (Legal Business Name): BRIANNA CHANTEL BRIAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRIANNA CHANTEL MILLER

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 SIXTH ST
TRAVERSE CITY MI
49684-2386
US

IV. Provider business mailing address

11991 MALLISON RD
THOMPSONVILLE MI
49683-9018
US

V. Phone/Fax

Practice location:
  • Phone: 231-935-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302414551
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: