Provider Demographics
NPI:1043560709
Name:SOLE, BRIAN COUDRAY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:COUDRAY
Last Name:SOLE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3179 HACIENDA DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94519-2239
Mailing Address - Country:US
Mailing Address - Phone:943-437-4743
Mailing Address - Fax:
Practice Address - Street 1:3179 HACIENDA DR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94519-2239
Practice Address - Country:US
Practice Address - Phone:943-437-4743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-10
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH67461183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist