Individual
AMANDA BRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
989 BURNT TAVERN RD, BRICK, NJ 08724-2014
(732) 836-3049
Mailing address
19 ROCKINGHAM WAY, MANCHESTER, NJ 08759-5051
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04048600
NJ
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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