Provider Demographics
NPI:1578815650
Name:ESKEW, BRYAN (PHARM D)
Entity Type:Individual
Prefix:
First Name:BRYAN
Middle Name:
Last Name:ESKEW
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 KARNER RD STE B
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-4760
Mailing Address - Country:US
Mailing Address - Phone:800-238-2247
Mailing Address - Fax:
Practice Address - Street 1:57 KARNER RD STE B
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-4760
Practice Address - Country:US
Practice Address - Phone:800-238-2247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-12
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0597851835P0018X
MST-12166183500000X
TN33639183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist