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NPI Code Detail

MEDICARE: DR. JOSEPH BRANDENBURG PHARMD

MEDICARE: DR. JOSEPH BRANDENBURG 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
1183500000XPharmacist121986MN

General Provider Information

NPI Number : 1477950574
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH BRANDENBURG PHARMD
Provider Business Mailing Address
First Line : 730 STINSON BLVD
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55413-4595
Country : US
Telephone Number : 262-993-3002
Fax Number :
Provider Business Practice Location Address
First Line : 975 COUNTY ROAD E E
Second Line :
City : VADNAIS HEIGHTS
State : MN
Zip : 55127-7114
Country : US
Telephone Number : 262-993-3002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2014
Last Update Date : 12/04/2014

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