Provider Demographics
NPI:1730782384
Name:FEINDEL, BRYAN GORDON (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:GORDON
Last Name:FEINDEL
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 1:109 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-2419
Mailing Address - Country:US
Mailing Address - Phone:978-682-0941
Mailing Address - Fax:
Practice Address - Street 1:109 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-2419
Practice Address - Country:US
Practice Address - Phone:978-682-0941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH238637183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist