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NPI Code Detail

MEDICARE: KARRIE ANN BRAGIEL RPH

MEDICARE: KARRIE ANN BRAGIEL RPH
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
1183500000XPharmacist5302030185MI

General Provider Information

NPI Number : 1265713200
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARRIE ANN BRAGIEL RPH
Provider Business Mailing Address
First Line : 931 S SAGINAW RD
Second Line :
City : MIDLAND
State : MI
Zip : 48640-4602
Country : US
Telephone Number : 989-631-0910
Fax Number :
Provider Business Practice Location Address
First Line : 931 S SAGINAW RD
Second Line :
City : MIDLAND
State : MI
Zip : 48640-4602
Country : US
Telephone Number : 989-631-0910
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2011
Last Update Date : 09/05/2011

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Directions to “ KARRIE ANN BRAGIEL RPH” Practice Location

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