Individual
BREAHNA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
602 NOTTINGHAM RD, SYRACUSE, NY 13224
(315) 446-4820
Mailing address
689 N CLINTON ST, APT. 211, SYRACUSE, NY 13204-1581
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
061990
NY
Other
Enumeration date
08/19/2016
Last updated
07/21/2018
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