Provider Demographics
NPI:1033253497
Name:BRYANT, SANDI IRENE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:SANDI
Middle Name:IRENE
Last Name:BRYANT
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:24 RAVENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-9724
Mailing Address - Country:US
Mailing Address - Phone:828-651-9101
Mailing Address - Fax:828-628-3516
Practice Address - Street 1:66 RETTA RD
Practice Address - Street 2:
Practice Address - City:FAIRVIEW
Practice Address - State:NC
Practice Address - Zip Code:28730-8767
Practice Address - Country:US
Practice Address - Phone:828-628-3675
Practice Address - Fax:828-628-3516
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC120991835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric