MS. Treva Renee Braisted, RPH

NPI #1760664122 in Glenmont, New York

Provider Information

NPI Number: 1760664122
Entity Type: Individual
Name: MS. Treva Renee Braisted, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Nov 28, 2007
Last Updated: Nov 28, 2007

Practice Location

Address: 311 ROUTE 9W
City: Glenmont
State: New York
ZIP Code: 12077-2909
Phone: (518) 432-1747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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