Individual
MR. CHARLES EDWIN BRYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3400 STATE ROUTE 11, MALONE, NY 12953-4714
(518) 483-4110
(518) 483-2815
Mailing address
3400 STATE ROUTE 11, MALONE, NY 12953-4714
(518) 483-4110
(518) 483-2815
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
31188
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00561995
—
NY
Enumeration date
11/01/2007
Last updated
02/17/2010
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