Most Relevant Information
Provider Data
| NPI Number: | 1003219726 |
| Provider Name: | CARSON BRADY PHARM.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 059279 |
Most Important Dates
| Enumeration Date: | 10/08/2014 |
| Last Updated: | 10/08/2014 |
Provider Practice Location
384 WINDSOR HIGHWAY
VAILS GATE
NY
12553
Practice Location Phone/Fax
| Phone: | 8458631054 |
| Fax: |
Provider Mailing Location
16 JOHN ST
SOUTH GLENS FALLS
NY
128035214
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |