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Individual

BRENT FOOTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
3980 SHERIDAN DR, SUITE 501, AMHERST, NY 14226-1727
(716) 839-4931
Mailing address
62 RUGBY RD, BUFFALO, NY 14216-2710
(716) 839-4931

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
053759
NY

Other

Enumeration date
03/09/2010
Last updated
03/09/2010
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