Provider Demographics
NPI:1124248174
Name:ZAMINER, BRANDY LYNN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:BRANDY
Middle Name:LYNN
Last Name:ZAMINER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:197 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-1435
Mailing Address - Country:US
Mailing Address - Phone:516-354-5641
Mailing Address - Fax:516-354-3790
Practice Address - Street 1:197 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN SQUARE
Practice Address - State:NY
Practice Address - Zip Code:11010-1435
Practice Address - Country:US
Practice Address - Phone:516-354-5641
Practice Address - Fax:516-354-3790
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050385183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist