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Contact Information

BRENDON STREET
1105 RESEARCH CENTER DRIVE ATLANTA SW
ATLANTA, GA30331
 Phone: 404-260-7779
 Fax: 404-260-6311
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy Technician

183700000X
Indicates primary specialty

NPI Profile & details for BRENDON STREET · (Male)

NPI Number 1750048633
Status Active
Credentials
Entity Individual
Enumeration date 11/26/2021
Last updated 11/26/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • GA License # G6C7C4Z4
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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