Bryan Andre Sandoval, RPH - Pharmacist in Antonito, CO

Bryan Andre Sandoval, RPH is a Pharmacist based in Antonito, Colorado. Bryan Andre Sandoval is licensed to practice in Colorado (license number 16713) and his current practice location is 327 Main, Antonito, Colorado. He can be reached at his office (for appointments etc.) via phone at (719) 376-5450.

NPI number for Bryan Andre Sandoval is 1447401963 and his current mailing address is 2801 Park Ave, Alamosa, Colorado. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447401963.

Contact Information

Bryan Andre Sandoval, RPH
327 Main,
Antonito, CO 81120
(719) 376-5450
Not Available

Healthcare Provider's Profile

Full NameBryan Andre Sandoval
GenderMale
SpecialityPharmacist
Location327 Main, Antonito, Colorado
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1447401963
  • Provider Enumeration Date: 10/02/2008
  • Last Update Date: 10/02/2008

Medical Identifiers

Medical identifiers for Bryan Andre Sandoval such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447401963NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 16713 (Colorado)Primary
183500000XPharmacist 11224 (Nevada)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bryan Andre Sandoval is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bryan Andre Sandoval, RPH
2801 Park Ave,
Alamosa, CO 81101-2089

Ph: (719) 587-3885
Bryan Andre Sandoval, RPH
327 Main,
Antonito, CO 81120

Ph: (719) 376-5450

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› Verified 5 days ago


Pharmacist in Antonito, CO


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