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NPI Code Detail

MEDICARE: BRANDON SANFORD

MEDICARE: BRANDON SANFORD
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
1183500000XPharmacist18827AL

General Provider Information

NPI Number : 1336523505
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDON SANFORD
Provider Business Mailing Address
First Line : 101 GREEN SPRINGS HWY
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-4903
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 GREEN SPRINGS HWY
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-4903
Country : US
Telephone Number : 205-942-3668
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2015
Last Update Date : 07/16/2015

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Directions to “ BRANDON SANFORD ” Practice Location

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