Provider Demographics
NPI:1700641420
Name:CHAKURMANIAN, BRIAN A (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:A
Last Name:CHAKURMANIAN
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 1:21 NORWOOD ST
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-3410
Mailing Address - Country:US
Mailing Address - Phone:518-466-8488
Mailing Address - Fax:
Practice Address - Street 1:21 NORWOOD ST
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-3410
Practice Address - Country:US
Practice Address - Phone:518-466-8488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049411183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty