Healthcare Provider Details

I. General information

NPI: 1548256068
Provider Name (Legal Business Name): BRADLEY K SINGER RPH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 02/22/2024
Certification Date: 02/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 GEISINGER LN
LEWISTOWN PA
17044-3400
US

IV. Provider business mailing address

107 SUGARWOOD DR
PHILIPSBURG PA
16866-8704
US

V. Phone/Fax

Practice location:
  • Phone: 717-242-4264
  • Fax: 717-242-4266
Mailing address:
  • Phone: 814-342-1117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP040669L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: