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NPI Code Detail

MEDICARE: DR. BRYAN MATTHEW PIPER PHARM.D

MEDICARE: DR. BRYAN MATTHEW PIPER 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
1183500000XPharmacist050377NY

General Provider Information

NPI Number : 1811190432
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRYAN MATTHEW PIPER PHARM.D
Provider Business Mailing Address
First Line : 1 FAIRBOURNE PARK
Second Line :
City : ROCHESTER
State : NY
Zip : 14626-1292
Country : US
Telephone Number : 585-749-9421
Fax Number :
Provider Business Practice Location Address
First Line : 430 SPENCERPORT RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14606-5219
Country : US
Telephone Number : 585-247-2710
Fax Number : 585-247-1755
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2007
Last Update Date : 07/08/2007

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