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NPI Code Detail

MEDICARE: DR. SAMUEL WILLIAM BROOKS PHARMD

MEDICARE:  DR. SAMUEL WILLIAM BROOKS  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
1183500000XPharmacist057145NY

General Provider Information

NPI Number : 1740622448
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMUEL WILLIAM BROOKS PHARMD
Provider Business Mailing Address
First Line : 10 N MAIN ST
Second Line : WALGREENS #12381
City : WELLSVILLE
State : NY
Zip : 14895-1232
Country : US
Telephone Number : 585-593-1540
Fax Number :
Provider Business Practice Location Address
First Line : 10 N MAIN ST
Second Line : WALGREENS #12381
City : WELLSVILLE
State : NY
Zip : 14895-1232
Country : US
Telephone Number : 585-593-1540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2013
Last Update Date : 07/23/2013

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Directions to “ DR. SAMUEL WILLIAM BROOKS PHARMD” Practice Location

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