Whalio Doctors

NPI 1093827990

Michael Allen Brandt, RPH

Practitioner Pharmacist Grand Rapids, MN

Practice location

Address
304 Pokegama Ave N, Grand Rapids, MN 55744
Phone
(218) 326-2635
Fax
(218) 326-2526
Mailing address
PO Box 966 124 Eagle Point Rd, Coleraine, MN 55722-0966

Registered specialties

Pharmacist Primary
Pharmacy Service Providers Taxonomy 183500000X Licence 116223-5 (MN)

Registry record

NPI
1093827990
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Aug 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.