NPI | 1134590433 |
---|---|
Doing Business As | BRACEY PHARMACY |
Entity Type | Organization |
Authorized Contact | SANDIP PATEL Owner 570-875-1300 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: PA PP410237L) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2015-10-13 |
Last Update Date | 2020-02-26 |