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NPI Code Detail

MEDICARE: DR. CHRYSTALYN DENISE BRANCH PHARMD

MEDICARE: DR. CHRYSTALYN DENISE BRANCH PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist76614TX

General Provider Information

NPI Number : 1174480834
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRYSTALYN DENISE BRANCH PHARMD
Provider Business Mailing Address
First Line : 2520 DORCHESTER DR
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72204-3455
Country : US
Telephone Number : 501-247-4703
Fax Number :
Provider Business Practice Location Address
First Line : 2002 HOLCOMBE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77030-4211
Country : US
Telephone Number : 713-791-1414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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