Most Relevant Information
Provider Data
| NPI Number: | 1003225756 |
| Provider Name: | MICHAEL VENNARD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 059460 |
Most Important Dates
| Enumeration Date: | 08/07/2014 |
| Last Updated: | 08/07/2014 |
Provider Practice Location
2040 WESTERN AVE
ALBANY
NY
122035012
Practice Location Phone/Fax
| Phone: | 5188690657 |
| Fax: |
Provider Mailing Location
40 BERKSHIRE DR
ALBANY
NY
122051216
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |