Individual
BRIAN JOSEPH AUTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, MPH
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Mailing address
4250 UNIVERSITY AVE APT 301, MADISON, WI 53705-2147
(515) 314-4176
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21067
WI
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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