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Individual

MR. DANIEL LEE BRACKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BSCPH

Contact information

Practice address
1140 TOWN SQUARE RD, POTTSTOWN, PA 19465-1017
(610) 323-4080
(610) 970-6316
Mailing address
2 IVY CT, DOUGLASSVILLE, PA 19518-1133
(610) 823-5248

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP031096L
PA

Other

Enumeration date
05/03/2010
Last updated
05/03/2010
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