MEDICARE: DR. BRANDI S RAINS 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
1	183500000X	Pharmacist	PS61950	FL

General Provider Information

NPI Number	:	1184218315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRANDI S RAINS PHARMD

Provider Business Mailing Address
First Line	:	1009 N SUMTER BLVD
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34286-8073
Country	:	US
Telephone Number	:	941-426-5083
Fax Number	:

Provider Business Practice Location Address
First Line	:	1009 N SUMTER BLVD
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34286-8073
Country	:	US
Telephone Number	:	941-426-5083
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2021
Last Update Date	:	02/28/2021

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Directions to “ DR. BRANDI S RAINS PHARMD” Practice Location

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