Basic Information
Provider Information
NPI: 1932277787
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHUYLER
FirstName: BRANDI
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: PHARMD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 JARRETT WHITE RD
Address2: DEPARTMENT OF PHARMACY
City: TRIPLER AMC
State: HI
PostalCode: 968595001
CountryCode: US
TelephoneNumber: 8084335240
FaxNumber:  
Practice Location
Address1: 300 W HOSPITAL RD
Address2: DEPARTMENT OF PHARMACY
City: FORT GORDON
State: GA
PostalCode: 309055741
CountryCode: US
TelephoneNumber: 7067877763
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/01/2006
LastUpdateDate: 06/16/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1835N0905X13485OKN Pharmacy Service ProvidersPharmacistNuclear
1835P0018X13485GAY Pharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

No ID Information.


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