1326526062 NPI number — DR. BRYAN ELLIOT PETROW PHARM.D

Table of content: DR. BRYAN ELLIOT PETROW PHARM.D (NPI 1326526062)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326526062 NPI number — DR. BRYAN ELLIOT PETROW PHARM.D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PETROW
Provider First Name:
BRYAN
Provider Middle Name:
ELLIOT
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHARM.D
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326526062
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/03/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1113 ORCHARD RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHARLOTTE
Provider Business Mailing Address State Name:
VT
Provider Business Mailing Address Postal Code:
05445-9674
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
802-735-4150
Provider Business Mailing Address Fax Number:
651-602-3643

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
823 FERRY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHARLOTTE
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05445-9092
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-735-4150
Provider Business Practice Location Address Fax Number:
651-602-3643
Provider Enumeration Date:
08/03/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  033.0124478 , registered in the state of VT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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