Provider Demographics
NPI:1972171718
Name:SHESKIER, BRENDAN A (PHARMD)
Entity type:Individual
Prefix:
First Name:BRENDAN
Middle Name:A
Last Name:SHESKIER
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 1:700 S NEWTON LAKE DR
Mailing Address - Street 2:
Mailing Address - City:COLLINGSWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08108-3139
Mailing Address - Country:US
Mailing Address - Phone:516-314-6909
Mailing Address - Fax:
Practice Address - Street 1:8 HADDON AVE
Practice Address - Street 2:
Practice Address - City:HADDON TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08108-2706
Practice Address - Country:US
Practice Address - Phone:856-869-7504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03958100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist