Healthcare Provider Details

I. General information

NPI: 1528638657
Provider Name (Legal Business Name): LINDSEY BREHM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2021
Last Update Date: 05/26/2022
Certification Date: 05/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

184 BARTON ST
BUFFALO NY
14213-1573
US

IV. Provider business mailing address

3222 UPPER MOUNTAIN RD
SANBORN NY
14132-9104
US

V. Phone/Fax

Practice location:
  • Phone: 716-348-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number068012I
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: