Provider Demographics
NPI:1225310428
Name:MESSINA, BRANDY (RPH)
Entity Type:Individual
Prefix:
First Name:BRANDY
Middle Name:
Last Name:MESSINA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3150 BUSINESS PARK DR
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92081-8520
Mailing Address - Country:US
Mailing Address - Phone:760-208-6112
Mailing Address - Fax:
Practice Address - Street 1:3150 BUSINESS PARK DR
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081
Practice Address - Country:US
Practice Address - Phone:760-208-6112
Practice Address - Fax:760-208-6122
Is Sole Proprietor?:No
Enumeration Date:2011-09-13
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA76590183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist