Smith, Brandon Lane

Smith, Brandon Lane is an individual health care provider with primary practice located at 530 E Main St , Jackson OH 45640-2127. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Smith, Brandon Lane can be contacted via phone (740) 286-6400.

Contact Information

Primary practice address
530 E Main St Jackson OH 45640-2127
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 03439837 Ohio

Profile Details

NPI number 1578181418
LBN Legal business name Smith, Brandon Lane
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2020
Last updated Jul 7th, 2020 - about 4 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 1578181418 NPPES
Ohio Other 03439837 OHIO STATE BOARD OF PHARMACY

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