Individual
BRIAN JOHNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1064 WILMOT RD, SCARSDALE, NY 10583-6863
(914) 722-2011
Mailing address
1064 WILMOT RD, SCARSDALE, NY 10583-6863
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
066910
NY
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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