Provider Demographics
NPI:1649314964
Name:GUERRA, BRANDI HOPE (RPH)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:HOPE
Last Name:GUERRA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 YOUNGERS CT
Mailing Address - Street 2:
Mailing Address - City:MAULDIN
Mailing Address - State:SC
Mailing Address - Zip Code:29662-3036
Mailing Address - Country:US
Mailing Address - Phone:864-787-8950
Mailing Address - Fax:
Practice Address - Street 1:915 ANDERSON ST
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:SC
Practice Address - Zip Code:29673-1418
Practice Address - Country:US
Practice Address - Phone:864-845-8323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9428183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist