Jillian Brace, R.Ph.
Pharmacist in Ithaca, NY. Individual provider (NPI-1).
NPI number1982937553
StatusActive
Last updated in NPPESSep 14, 2009
Details
- NPI
- 1982937553
- Entity type
- Individual (NPI-1)
- Name
- Jillian Brace
- Credential
- R.Ph.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2009
- Last updated
- Sep 14, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 052565 | NY | Yes |
Practice location
2255 N Triphammer RdIthaca, NY 14850-1576
Phone 800-552-8663
Mailing address
2255 N Triphammer RdIthaca, NY 14850-1576
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