Provider Demographics
NPI:1255648291
Name:BRAMSON, KIMBERLEY E (PHARM D)
Entity type:Individual
Prefix:
First Name:KIMBERLEY
Middle Name:E
Last Name:BRAMSON
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:ORIENTAL
Mailing Address - State:NC
Mailing Address - Zip Code:28571-9779
Mailing Address - Country:US
Mailing Address - Phone:252-665-1408
Mailing Address - Fax:
Practice Address - Street 1:703 BROAD ST
Practice Address - Street 2:
Practice Address - City:ORIENTAL
Practice Address - State:NC
Practice Address - Zip Code:28571-9779
Practice Address - Country:US
Practice Address - Phone:252-745-3911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18121183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist