Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDON VAN
Active Sole ProprietorBRANDON VAN is a Long-Term Care Pharmacy healthcare provider located in SHERIDAN, Arkansas. NPI 1679243976 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · SHERIDAN, AR
Registration Details
- NPI Number
- 1679243976
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 17, 2021 (4.7636878634132 yrs)
- Last Updated
- Sep 17, 2021
- License
-
PD15885 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1308 S ROCK STSHERIDAN, AR, 721507160Browse AR providers · Browse ZIP 72150
- Phone
- 8709425045
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.