| Doctor Name: | MR. BRYAN C MCCUTCHEON |
| NPI Number: | 1245377167 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPH, CGP |
| License Number: | 030923 |
| Business Practice Address: | 56 Echo Ave Echo Pharmacy Miller Place, NY - 117642401 |
| Business Phone Number: | 6316428175 |
| Business Fax Number: | 6316428178 |
| Mailing Address: | 22 Stonywell Ct, DIX HILLS |
| State: | NY |
| Postal Code: | 117465423 |
| Phone Number: | 6314997685 |
| Fax Number: | 6314931288 |
| NPI Enumeration Date: | 01/31/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835G0303X |
| License Number: | 030923 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Geriatric |
| Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |