Individual
BRIAN K SYDNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2200 BERGQUIST DR STE 1, LACKLAND A F B, TX 78236-9908
(623) 512-8344
Mailing address
2200 BERGQUIST DR STE 1, LACKLAND A F B, TX 78236-9908
(623) 512-8344
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206547
VA
Other
Enumeration date
05/05/2006
Last updated
07/06/2012
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