Bryan Andre Sandoval, RPH is a
Pharmacist based in Antonito, Colorado. Bryan Andre Sandoval is licensed to practice in Colorado (license number 16713) and his current practice location is
327 Main, Antonito, Colorado. He can be reached at his office (for appointments etc.) via phone at
(719) 376-5450.
NPI number for Bryan Andre Sandoval is 1447401963 and his current mailing address is 2801 Park Ave, Alamosa, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447401963.
Healthcare Provider's Profile
| Full Name | Bryan Andre Sandoval |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 327 Main, Antonito, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447401963
- Provider Enumeration Date: 10/02/2008
- Last Update Date: 10/02/2008
Medical Identifiers
Medical identifiers for Bryan Andre Sandoval such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447401963 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 16713 (Colorado) | Primary |
| 183500000X | Pharmacist | 11224 (Nevada) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bryan Andre Sandoval is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bryan Andre Sandoval, RPH
2801 Park Ave,
Alamosa, CO 81101-2089
Ph: (719) 587-3885 | Bryan Andre Sandoval, RPH
327 Main,
Antonito, CO 81120
Ph: (719) 376-5450 |
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