Provider Demographics
NPI:1336532373
Name:KIRCHNER, BRANDON VINCENT (PHARM D)
Entity Type:Individual
Prefix:
First Name:BRANDON
Middle Name:VINCENT
Last Name:KIRCHNER
Suffix:
Gender:M
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 1:2020 BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:YANKTON
Mailing Address - State:SD
Mailing Address - Zip Code:57078-2115
Mailing Address - Country:US
Mailing Address - Phone:605-310-4122
Mailing Address - Fax:
Practice Address - Street 1:2020 BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:YANKTON
Practice Address - State:SD
Practice Address - Zip Code:57078-2115
Practice Address - Country:US
Practice Address - Phone:605-665-1124
Practice Address - Fax:605-665-1261
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-16
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA22396183500000X
SD5937183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist