Organization
ROGER J. FEURA BRADFORD PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER J FEURA RPH (OWNER/PHARMACIST)
(814) 362-6521
Entity
Organization
Contact information
Practice address
55 MAIN STREET, BRADFORD, PA 16701-2019
(814) 362-6521
(814) 362-3593
Mailing address
55 MAIN STREET, BRADFORD, PA 16701-2019
(814) 362-6521
(814) 362-3593
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP413546L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007289890002
—
PA
Enumeration date
01/14/2007
Last updated
07/29/2008
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