Individual
CHRISTINE O'BRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
868 STATE ROUTE 11, CHAMPLAIN, NY 12919
(518) 298-5343
Mailing address
868 STATE ROUTE 11, CHAMPLAIN, NY 12919
(518) 298-5343
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
063208
NY
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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