Provider Demographics
NPI:1063618429
Name:MCBRIDE, BRIAN FRANCIS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:FRANCIS
Last Name:MCBRIDE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1345 BELL RD UNIT 416
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-6721
Mailing Address - Country:US
Mailing Address - Phone:856-655-0418
Mailing Address - Fax:
Practice Address - Street 1:1345 BELL RD UNIT 416
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-6721
Practice Address - Country:US
Practice Address - Phone:856-655-0418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00000297771835P1200X
CT98321835P1200X
NJ28RI028312001835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0000029777OtherREGISTERED PHARMACIST