Individual
BRAD PURGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
10 BASSETT ST, MILTON, MA 02186-5507
(617) 698-2805
(617) 696-7275
Mailing address
10 BASSETT ST, MILTON, MA 02186-5507
(617) 698-2805
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH236229
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110087476C
—
MA
Enumeration date
01/11/2021
Last updated
01/11/2021
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