Provider Demographics
NPI:1689862765
Name:LONEY, BRIANNE MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRIANNE
Middle Name:MARIE
Last Name:LONEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2877 W 26TH ST
Mailing Address - Street 2:GIANT EALGE PHARMACY 4010
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16506-3047
Mailing Address - Country:US
Mailing Address - Phone:814-833-2939
Mailing Address - Fax:
Practice Address - Street 1:2877 W 26TH ST
Practice Address - Street 2:GIANT EALGE PHARMACY 4010
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-3047
Practice Address - Country:US
Practice Address - Phone:814-833-2939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-14
Last Update Date:2007-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441981183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist