National Provider Identifier
Brenna Gallivan
Brenna Gallivan is listed in the NPPES registry with a primary specialty of Pharmacist in Buffalo, NY and a listed phone number of (716) 824-1721.
Profile Overview
- NPI
- 1376130245
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- December 28, 2020
- Last Updated
- December 28, 2020
Practice Location
- 360 Dingens St
- Buffalo, NY 14206-2319
Phone: (716) 824-1721
Mailing Address
- 279 North St Apt 104
- Buffalo, NY 14201-1336
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1376130245
- Entity Type
- Individual
- Last Name
- Gallivan
- First Name
- Brenna
- Mailing Street Address
- 279 North St Apt 104
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14201-1336
- Mailing Country
- US
- Mailing Phone
- (716) 863-6245
- Practice Street Address
- 360 Dingens St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14206-2319
- Practice Country
- US
- Practice Phone
- (716) 824-1721
- Enumeration Date
- December 28, 2020
- Last Updated
- December 28, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 28, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)