Organization
TAMAQUA PHARMACY LLC
Active
Organization
TAMAQUA PHARMACY LLC
Active
Other names
BRACEY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAJUL PATEL (EXECUTIVE MANAGING MEMBER)
(404) 932-0521
Entity
Organization
Contact information
Practice address
626 CENTRE ST, ASHLAND, PA 17921-1332
(570) 875-1300
(570) 875-2817
Mailing address
626 CENTRE ST, ASHLAND, PA 17921-1332
(570) 875-1300
(570) 875-2817
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP410237L
PA
Other
Enumeration date
09/08/2010
Last updated
05/11/2011
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