Provider Demographics
NPI:1528379294
Name:MAY, BRANDON C (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:C
Last Name:MAY
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 1:7037 LA TIJERA BLVD APT D101
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-2198
Mailing Address - Country:US
Mailing Address - Phone:310-350-1107
Mailing Address - Fax:
Practice Address - Street 1:3331 W CENTURY BLVD
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90303-1366
Practice Address - Country:US
Practice Address - Phone:310-671-1523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-28
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53930183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist