Individual
DR. CARRIE M BROEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1819 W GENESEE ST, SYRACUSE, NY 13204-1811
(315) 488-2799
Mailing address
1819 W GENESEE ST, SYRACUSE, NY 13204-1811
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
056067
NY
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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