Braceys Supermarket INC Moosic
NPI #1437742624 in Moosic, Pennsylvania
Provider Information
- NPI Number
- 1437742624
- Entity Type
- Organization
- Organization Name
- Braceys Supermarket INC Moosic
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 18, 2021
- Last Updated
- Feb 26, 2021
Practice Location
- Address
- 3382 BIRNEY PLZ
- City
- Moosic
- State
- Pennsylvania
- ZIP Code
- 18507-1560
- Phone
- (570) 904-6042
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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