Provider Demographics
NPI:1649593872
Name:BRADY, DONALD PATRICK II (RPH)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:PATRICK
Last Name:BRADY
Suffix:II
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6215 SCHERFF RD
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-3740
Mailing Address - Country:US
Mailing Address - Phone:716-662-1374
Mailing Address - Fax:716-326-6468
Practice Address - Street 1:117 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NY
Practice Address - Zip Code:14787-1310
Practice Address - Country:US
Practice Address - Phone:716-326-3182
Practice Address - Fax:716-326-6848
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-02
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY043475-01183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist