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Jimmy Brantley
NPI 1134401243 · on the registry since 2011
Practice
- Address
- 705 Bertrand Dr
Lafayette, LA 70506 - Phone
- (337) 232-7380
- Fax
- (337) 232-7791
- Organisation at this address
- Louisiana Cvs Pharmacy, L.L.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-09-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana