Individual
BRETT SURACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
520 E MAIN ST, GOUVERNEUR, NY 13642-1561
(315) 287-3600
Mailing address
520 E MAIN ST, GOUVERNEUR, NY 13642-1561
(315) 287-3600
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044649
NY
Other
Enumeration date
11/12/2007
Last updated
11/12/2007
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