| Doctor Name: | BRIAN JAMES KING |
| NPI Number: | 1184744492 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.PH. |
| License Number: | RP032129L |
| Business Practice Address: | 66 W Pike St Canonsburg, PA - 153171314 |
| Business Phone Number: | 7247456480 |
| Business Fax Number: | |
| Mailing Address: | 820 N Liberty St, WAYNESBURG |
| State: | PA |
| Postal Code: | 153708032 |
| Phone Number: | 7246277348 |
| Fax Number: | |
| NPI Enumeration Date: | 03/30/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835N1003X |
| License Number: | RP032129L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Nutrition Support |
| Taxonomy Definition: | A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |