Bouquet Mulligan Eye Professionals Ltd
NPI #1124239124 in Elizabethtown, Pennsylvania
Provider Information
- NPI Number
- 1124239124
- Entity Type
- Organization
- Organization Name
- Bouquet Mulligan Eye Professionals Ltd
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- May 24, 2007
- Last Updated
- Mar 19, 2021
Practice Location
- Address
- 1676 S MARKET ST
- City
- Elizabethtown
- State
- Pennsylvania
- ZIP Code
- 17022-2853
- Phone
- (717) 272-0581
Authorized Official
- Name
- MR. GREGORY M BRACALE
- Title
- ADMININSTRATOR
- Phone
- (717) 272-0581
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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