Individual
BRANDI BOGACKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 MILLION DOLLAR HWY, SAINT MARYS, PA 15857-2728
(814) 781-1389
Mailing address
757 SHELVEY SUMMIT RD, KERSEY, PA 15846-1805
(814) 594-0109
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP446749
PA
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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