Provider Demographics
NPI:1306363452
Name:DRAPER, ANDREW (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:DRAPER
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:CMR 415 BOX 6214
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09114-0063
Mailing Address - Country:US
Mailing Address - Phone:801-349-8397
Mailing Address - Fax:
Practice Address - Street 1:BLDG 475 UNIT 28130
Practice Address - Street 2:
Practice Address - City:APO AE
Practice Address - State:NY
Practice Address - Zip Code:09114
Practice Address - Country:US
Practice Address - Phone:314-590-3183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-29
Last Update Date:2017-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT153033-17011835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care