Provider Demographics
NPI:1477732212
Name:BRAUN, GERALD ARTHUR (RPH)
Entity Type:Individual
Prefix:MR
First Name:GERALD
Middle Name:ARTHUR
Last Name:BRAUN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1224 E LOVEJOY ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14206-1216
Mailing Address - Country:US
Mailing Address - Phone:716-893-2338
Mailing Address - Fax:716-893-7332
Practice Address - Street 1:1224 E LOVEJOY ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14206-1216
Practice Address - Country:US
Practice Address - Phone:716-893-2338
Practice Address - Fax:716-893-7332
Is Sole Proprietor?:No
Enumeration Date:2007-10-29
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029808183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist