Brandt, Stacey Malinda
Brandt, Stacey Malinda is an sole proprietor health care provider with primary practice located at 2528 Nw 19Th St , Pompano Beach FL 33069-5229. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Brandt, Stacey Malinda can be contacted via phone (954) 876-5000.Contact Information
Primary practice address
2528 Nw 19Th St
Pompano Beach FL 33069-5229
Phone: (954) 876-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PS36767 | Florida |
Profile Details
| NPI number | 1487741153 |
|---|---|
| LBN Legal business name | Brandt, Stacey Malinda |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487741153 | NPPES |
| Florida | Other | PS36767 | LICENSE NUMBER |
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