Organization
BROCKIE HEALTHCARE INCORPORATED
Active
Other names
Brockie Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E GILLESPIE (VICE-PRESIDENT OF OPERATIONS)
(717) 843-1541
Entity
Organization
Contact information
Practice address
209 N BEAVER ST, YORK, PA 17403-5321
(717) 843-1541
(717) 852-9607
Mailing address
209 N BEAVER ST, YORK, PA 17403-5321
(717) 843-1541
(717) 852-9607
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007508720004
—
PA
Enumeration date
12/19/2006
Last updated
08/22/2020
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