Provider Demographics
NPI:1679889612
Name:MCMILLIN, BRANDY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRANDY
Middle Name:
Last Name:MCMILLIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2835 KIRBY RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-8209
Mailing Address - Country:US
Mailing Address - Phone:901-353-1387
Mailing Address - Fax:901-353-5974
Practice Address - Street 1:2835 KIRBY RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-8209
Practice Address - Country:US
Practice Address - Phone:901-353-1387
Practice Address - Fax:901-353-5974
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN130171835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy