Individual
ANDREW BRAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
288 CORNELIA ST, PLATTSBURGH, NY 12901-2303
(518) 561-3510
Mailing address
288 CORNELIA ST, PLATTSBURGH, NY 12901-2303
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
055829
NY
Other
Enumeration date
11/01/2015
Last updated
11/01/2015
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