Provider Demographics
NPI:1265157473
Name:BRINTON, ANDREW (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:BRINTON
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:ANDREW
Other - Middle Name:S
Other - Last Name:BRINTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2800 BRANDON AVE
Mailing Address - Street 2:
Mailing Address - City:SEDALIA
Mailing Address - State:MO
Mailing Address - Zip Code:65301-6892
Mailing Address - Country:US
Mailing Address - Phone:660-829-5257
Mailing Address - Fax:
Practice Address - Street 1:2800 BRANDON AVE
Practice Address - Street 2:
Practice Address - City:SEDALIA
Practice Address - State:MO
Practice Address - Zip Code:65301-6892
Practice Address - Country:US
Practice Address - Phone:660-829-5257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018030512183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist