Individual
BRETT KRUMMENACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3112 VESTAL PKWY E, VESTAL, NY 13850-2038
(607) 729-6204
Mailing address
251 OSCAR TER, ENDICOTT, NY 13760-1256
(607) 349-0176
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
072034
NY
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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