Richard Brantner

NPI #1689286940 in Nixa, Missouri

Provider Information

NPI Number: 1689286940
Entity Type: Individual
Name: Richard Brantner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Aug 18, 2020
Last Updated: Aug 18, 2020

Practice Location

Address: 106 N MASSEY BLVD
City: Nixa
State: Missouri
ZIP Code: 65714-8118
Phone: (417) 724-9568

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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