Andrew Draper, PHARMD

Individual provider Active NPI Ambulatory Care Pharmacist · Apo Ae, NY

NPI 1306363452 · NPPES record last updated Aug 29, 2017

Key facts

NPI
1306363452
Entity type
Individual (NPI type 1)
Primary specialty
Ambulatory Care Pharmacist 1835P2201X
License
153033-1701 (UT)
Practice address
BLDG 475 Unit 28130
Apo Ae, NY 09114
Phone
(314) 590-3183
NPI assigned
Aug 29, 2017
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
153033-1701UTMDAmbulatory Care Pharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 153033-1701 UT Yes

Addresses

Primary practice location

BLDG 475 Unit 28130
Apo Ae, NY 09114

Mailing address

CMR 415 Box 6214
Apo, AE 09114-0063
Phone (801) 349-8397

Other providers in Apo Ae, NY

All providers in Apo Ae, NY · Ambulatory Care Pharmacist in New York

Sources for this page

Verify at the official NPI Registry.