MEDICARE: JOSEPH BRAASCH PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PH236098	MA

General Provider Information

NPI Number	:	1578919841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH BRAASCH PHARMD

Provider Business Mailing Address
First Line	:	31 BERRINGTON RD
Second Line	:
City	:	LEOMINSTER
State	:	MA
Zip	:	01453-5244
Country	:	US
Telephone Number	:	508-738-0318
Fax Number	:

Provider Business Practice Location Address
First Line	:	517 LINCOLN ST
Second Line	:
City	:	MARLBOROUGH
State	:	MA
Zip	:	01752-2088
Country	:	US
Telephone Number	:	508-460-1514
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2016
Last Update Date	:	05/05/2016

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