MEDICARE: DR. BRANDON OSTROW PHARMD

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
1	183500000X	Pharmacist	PHA.0024312	CO

General Provider Information

NPI Number	:	1639879919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRANDON OSTROW PHARMD

Provider Business Mailing Address
First Line	:	PO BOX 1289
Second Line	:
City	:	FRISCO
State	:	CO
Zip	:	80443-1289
Country	:	US
Telephone Number	:	267-884-6660
Fax Number	:

Provider Business Practice Location Address
First Line	:	1008 SUMMIT BLVD
Second Line	:
City	:	FRISCO
State	:	CO
Zip	:	80443-5883
Country	:	US
Telephone Number	:	970-668-9980
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2023
Last Update Date	:	03/20/2023

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