National Provider Identifier

Peter Michael Brody Jr., PHARM.D., CDM, RPH.

Peter Michael Brody Jr., PHARM.D., CDM, RPH. is listed in the NPPES registry with a primary specialty of Pharmacist in Kenmore, NY and a listed phone number of (716) 875-5090.

NPI 1629118120Kenmore, NYPharmacist

Profile Overview

NPI
1629118120
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
February 07, 2007
Last Updated
July 08, 2007

Practice Location

  • 2453 Elmwood Ave
  • Kenmore, NY 14217-2245

Phone: (716) 875-5090

Mailing Address

  • 7288 Wilrose Ct
  • North Tonawanda, NY 14120-1484

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1629118120
Entity Type
Individual
Last Name
Brody
First Name
Peter
Middle Name
Michael
Name Prefix
Dr.
Name Suffix
Jr.
Credential
PHARM.D., CDM, RPH.
Mailing Street Address
7288 Wilrose Ct
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-1484
Mailing Country
US
Mailing Phone
(716) 692-6790
Practice Street Address
2453 Elmwood Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-2245
Practice Country
US
Practice Phone
(716) 875-5090
Enumeration Date
February 07, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)