BRENT JUDE BASHAW

LATHAM, NY
NPI1225210768
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NY  040628)
Enumeration Date2007-11-27
Last Update Date2010-05-11
Business Address
Mr. BRENT JUDE BASHAW RPh
675 TROY SCHENECTADY RD TARGET PHARMACY T1915
LATHAM, NY 12110-2493
Phone number: 518-782-1360
Mailing Address
Mr. BRENT JUDE BASHAW RPh
40 LINDA LN
SCHENECTADY, NY 12309-1962
Phone number: 518-452-0148
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