Most Relevant Information
Provider Data
| NPI Number: | 1003574310 |
| Provider Name: | ROBERT EUGENE BRAYLOCK PHARM.D., RPH, MBA |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 03136052 |
Most Important Dates
| Enumeration Date: | 12/03/2021 |
| Last Updated: | 12/03/2021 |
Provider Practice Location
2720 HIGHWAY 42 N
MCDONOUGH
GA
302534301
Practice Location Phone/Fax
| Phone: | 7708987356 |
| Fax: |
Provider Mailing Location
6809 MAYFIELD RD APT N752
MAYFIELD HEIGHTS
OH
441242273
Provider Mailing Phone/Fax
| Phone: | 2162127696 |
| Fax: |