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NPI Code Detail

MEDICARE: DR. PATRICK SHANNON HILDENBRANDT PHARM.D.

MEDICARE: DR. PATRICK SHANNON HILDENBRANDT PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist051070NY

General Provider Information

NPI Number : 1093976458
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK SHANNON HILDENBRANDT PHARM.D.
Provider Business Mailing Address
First Line : 1556 HERTEL AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14216-2806
Country : US
Telephone Number : 716-834-2820
Fax Number : 716-837-6681
Provider Business Practice Location Address
First Line : 1556 HERTEL AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14216-2806
Country : US
Telephone Number : 716-834-2820
Fax Number : 716-837-6681
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2008
Last Update Date : 06/18/2008

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