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Individual

BRANDON LAWATSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
3701 MOUNT READ BLVD, ROCHESTER, NY 14616-3450
(585) 663-4190
(585) 621-6927
Mailing address
3701 MOUNT READ BLVD, ROCHESTER, NY 14616-3450
(585) 663-4190
(585) 621-6927

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
053936
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
053936
PHARMACIST LICENSE #
NY
Enumeration date
03/10/2010
Last updated
03/10/2010
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