Most Relevant Information
Provider Data
| NPI Number: | 1003593328 |
| Provider Name: | KIMBERLY SUZANNE BRANDON |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 41034 |
Most Important Dates
| Enumeration Date: | 06/28/2023 |
| Last Updated: | 06/28/2023 |
Provider Practice Location
2420 W WHEATLAND RD
DALLAS
TX
752373609
Practice Location Phone/Fax
| Phone: | 9727801325 |
| Fax: |
Provider Mailing Location
8405 BANQUO DR
DALLAS
TX
752285835
Provider Mailing Phone/Fax
| Phone: | 4693238069 |
| Fax: |