Provider Demographics
NPI:1649437740
Name:O'CALLAGHAN, BRANDON KEITH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:KEITH
Last Name:O'CALLAGHAN
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 1:204 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:GALLIPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45631-1022
Mailing Address - Country:US
Mailing Address - Phone:740-441-0781
Mailing Address - Fax:740-441-9120
Practice Address - Street 1:204 2ND AVE
Practice Address - Street 2:
Practice Address - City:GALLIPOLIS
Practice Address - State:OH
Practice Address - Zip Code:45631-1022
Practice Address - Country:US
Practice Address - Phone:740-441-0781
Practice Address - Fax:740-441-9120
Is Sole Proprietor?:No
Enumeration Date:2008-05-18
Last Update Date:2008-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-26367183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist