Provider Demographics
NPI:1760815997
Name:ARBOLEDA, BRANDY MICHELLE (CPHT)
Entity Type:Individual
Prefix:MRS
First Name:BRANDY
Middle Name:MICHELLE
Last Name:ARBOLEDA
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
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Mailing Address - Street 1:15 BRENDAN WAY
Mailing Address - Street 2:SUITE 120
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-3562
Mailing Address - Country:US
Mailing Address - Phone:864-254-0251
Mailing Address - Fax:964-254-0241
Practice Address - Street 1:15 BRENDAN WAY
Practice Address - Street 2:SUITE 120
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-3562
Practice Address - Country:US
Practice Address - Phone:864-254-0251
Practice Address - Fax:964-254-0241
Is Sole Proprietor?:No
Enumeration Date:2013-08-12
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC24010183700000X
NC02855183700000X
GAPHTC002782183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician