Healthcare Provider Details

I. General information

NPI: 1801562582
Provider Name (Legal Business Name): BRITTANY TYLER OLBERT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2021
Last Update Date: 12/27/2024
Certification Date: 12/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2233 STATE ROUTE 86
SARANAC LAKE NY
12983-5644
US

IV. Provider business mailing address

2233 STATE ROUTE 86
SARANAC LAKE NY
12983-5644
US

V. Phone/Fax

Practice location:
  • Phone: 518-897-2319
  • Fax: 518-891-7615
Mailing address:
  • Phone: 518-897-2319
  • Fax: 518-891-7615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28052
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: