Provider Demographics
NPI:1295349736
Name:SALING, BRANDON COLE (PHARMD)
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:COLE
Last Name:SALING
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37321 GROVE AVE APT 201
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-5955
Mailing Address - Country:US
Mailing Address - Phone:740-509-3747
Mailing Address - Fax:
Practice Address - Street 1:180 N STATE ST
Practice Address - Street 2:
Practice Address - City:PAINESVILLE
Practice Address - State:OH
Practice Address - Zip Code:44077-3940
Practice Address - Country:US
Practice Address - Phone:440-352-0627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03440157183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist