Individual
BRYAN R RUPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1550 EMPIRE BLVD, WEBSTER, NY 14580-2104
(585) 922-2394
Mailing address
1550 EMPIRE BLVD, WEBSTER, NY 14580-2104
(585) 922-2394
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
039577
NY
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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