Brandon Palla

NPI 1215282751 - Pharmacist - 183500000X

NPI Details
NPI 1215282751
Gender Male
Enumeration Date 07/20/2012
Last Updated 07/20/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
100 W SOUTHLAKE BLVD STE 200
SOUTHLAKE TX, 76092-6166, US
Phone (817) 421-6530
Fax (817) 488-2476
Business Location
3663 BRIARPARK DR
HOUSTON TX, 77042-5205, US
Phone (713) 268-3630
Fax (623) 869-1717
Toxanomy
Taxonomy Code 183500000X
License State Texas
License Number 51720
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According to our database, Brandon Palla NPI is 1215282751, taxonomy code is 183500000X and license number is 51720, license state is located at Texas. Brandon Palla physically located at 100 W Southlake Blvd Ste 200, Southlake TX, 76092-6166. NPI Number Brandon Palla has the Individual type.

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1215282751 NPI number is provided on an as is basis without warranty of any kind. 1215282751 is maintained by the National Plan & Provider Enumeration System. The contents of Brandon Palla are for informational purposes only.