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NPI Code Detail

MEDICARE: MR. DONALD PATRICK BRADY II RPH

MEDICARE: MR. DONALD PATRICK BRADY II RPH
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
1183500000XPharmacist043475-01NY

General Provider Information

NPI Number : 1649593872
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DONALD PATRICK BRADY II RPH
Provider Business Mailing Address
First Line : 6215 SCHERFF RD
Second Line :
City : ORCHARD PARK
State : NY
Zip : 14127-3740
Country : US
Telephone Number : 716-662-1374
Fax Number : 716-326-6468
Provider Business Practice Location Address
First Line : 117 E MAIN ST
Second Line :
City : WESTFIELD
State : NY
Zip : 14787-1310
Country : US
Telephone Number : 716-326-3182
Fax Number : 716-326-6848
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2010
Last Update Date : 03/02/2010

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