Brannon Ichwan
NPI #1366315566 in Duarte, California
Provider Information
- NPI Number
- 1366315566
- Entity Type
- Individual
- Name
- Brannon Ichwan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Sep 25, 2025
- Last Updated
- Sep 25, 2025
Practice Location
- Address
- 939 SWISS TRL
- City
- Duarte
- State
- California
- ZIP Code
- 91010-2181
- Phone
- (626) 775-7504
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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