Braceys Supermarket Inc.
NPI #1184728313 in Daleville, Pennsylvania
Provider Information
- NPI Number
- 1184728313
- Entity Type
- Organization
- Organization Name
- Braceys Supermarket Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BRACEYS SUPERMARKET INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 8, 2006
- Last Updated
- Mar 30, 2011
Practice Location
- Address
- ROUTE 502
- City
- Daleville
- State
- Pennsylvania
- ZIP Code
- 18444
- Phone
- (570) 842-7848
Authorized Official
- Name
- MELISSA FIGUEROA RIVERA
- Title
- THIRD PARTY ADMINISTRATOR
- Phone
- (732) 521-8439
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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