Loucks, Brian R

Loucks, Brian R is an individual health care provider with primary practice located at 100 Main Street Cvs Pharmacy 5034, Cooperstown NY 13326. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Loucks, Brian R can be contacted via phone (607) 547-8791.

Contact Information

Primary practice address
100 Main Street Cvs Pharmacy 5034 Cooperstown NY 13326
Phone: (607) 547-8791
Fax: (607) 544-1070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 33416 New York

Profile Details

NPI number 1811166531
LBN Legal business name Loucks, Brian R
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2008
Last updated Feb 27th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811166531 NPPES
New York MEDICAID 00911431

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