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NPI Code Detail

MEDICARE: DR. BRANDON YOUNG PHARM.D.

MEDICARE:  DR. BRANDON  YOUNG  PHARM.D.
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
1183500000XPharmacist120458MN

General Provider Information

NPI Number : 1932481363
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRANDON YOUNG PHARM.D.
Provider Business Mailing Address
First Line : 521 W 84TH ST
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55420-2205
Country : US
Telephone Number : 612-963-1298
Fax Number :
Provider Business Practice Location Address
First Line : 4916 FRANCE AVE S
Second Line :
City : EDINA
State : MN
Zip : 55410-1758
Country : US
Telephone Number : 952-927-5548
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2011
Last Update Date : 12/25/2013

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Directions to “ DR. BRANDON YOUNG PHARM.D.” Practice Location

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