Brandy K Fountain, PHARM D

NPI #1326413352 in Broadview, Illinois

Provider Information

NPI Number: 1326413352
Entity Type: Individual
Name: Brandy K Fountain, PHARM D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARM D
Enumeration Date: Dec 2, 2015
Last Updated: Dec 2, 2015

Practice Location

Address: 800 BROADVIEW VILLAGE SQ
City: Broadview
State: Illinois
ZIP Code: 60155-4887
Phone: (708) 731-5556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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