Brannum, Marva Anderson

Brannum, Marva Anderson is an individual health care provider with primary practice located at 1864 E Washington Blvd Ste 105 , Pasadena CA 91104-1667. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Brannum, Marva Anderson can be contacted via phone (626) 398-1696.

Contact Information

Primary practice address
1864 E Washington Blvd Ste 105 Pasadena CA 91104-1667
Phone: (626) 398-1696
Fax: (626) 398-9860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 46909 California
Pharmacy Service Providers / Pharmacist 183500000X 46909 California

Profile Details

NPI number 1790993095
LBN Legal business name Brannum, Marva Anderson
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Jun 27th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790993095 NPPES
California Other 46909 PHARMACY LICENSE

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