Individual
MR. BRIAN R LOUCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
100 MAIN STREET, CVS PHARMACY 5034, COOPERSTOWN, NY 13326
(607) 547-8791
(607) 544-1070
Mailing address
100 MAIN STREET, CVS PHARMACY 5034, COOPERSTOWN, NY 13326
(607) 547-8791
(607) 544-1070
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33416
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00911431
—
NY
Enumeration date
02/27/2008
Last updated
02/27/2008
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