Individual
MR. BRIAN WILLIAM HUCKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 SMITH STREET, PHARMACY FIRST , SUITE 502, NANUET, NY 10954
(845) 623-8599
(845) 623-5956
Mailing address
5632 E CREEK RD, SOUTH WALES, NY 14139-9763
(716) 655-2001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28699
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28699
PHARMACY STATE LICENSE #
NY
Enumeration date
10/31/2006
Last updated
07/08/2007
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