NPI 1245377167

Bryan C McCutcheon, RPHCGP

Practitioner Geriatric Pharmacist Miller Place, NY

Practice location

Address: 56 Echo Ave Echo Pharmacy, Miller Place, NY 11764-2401
Phone: (631) 642-8175
Fax: (631) 642-8178
Mailing address: 22 Stonywell CT, Dix Hills, NY 11746-5423

Registered specialties

Geriatric Pharmacist Primary

Pharmacy Service Providers Taxonomy 1835G0303X Licence 030923 (NY)

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Registry record

NPI: 1245377167
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.