IndividualActive
Michael Brodeur, PHARMD,CGP,FASCP
NPI 1093805202 · Geriatric Pharmacist · Albany, NY
Provider details
- NPI number
- 1093805202
- Entity type
- Individual
- Primary specialty
- Geriatric PharmacistPharmacy Service Providers
- Credential
- PHARMD,CGP,FASCP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 046286 (NY)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
106 New Scotland Ave
Albany College of Pharmacy
Albany, NY 12208-3425
Phone: (518) 694-7386
Approximate (ZIP-level) locationGet directions
Mailing address
32 Surrey Mall
Slingerlands, NY 12159-9650
Registry dates
- Enumerated
- 2006-10-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.