Brenner, Randal C

Brenner, Randal C is an sole proprietor health care provider with primary practice located at 472 S Enota Dr Ne , Gainesville GA 30501-2548. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Brenner, Randal C can be contacted via phone (770) 535-3750.

Contact Information

Primary practice address
472 S Enota Dr Ne Gainesville GA 30501-2548
Phone: (770) 535-3750
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH014643 Georgia
Pharmacy Service Providers / Pharmacist 183500000X PS21974 Florida

Profile Details

NPI number 1760661375
LBN Legal business name Brenner, Randal C
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2007
Last updated Dec 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760661375 NPPES
Florida Other PS21974 PHARMACIST LISCENSE
Florida Other RPH014643 PHARMACIST LISCENSE

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