MEDICARE: MR. JOSEPH MARK BRIGICH JR. 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
1	183500000X	Pharmacist	RP041200R	PA

General Provider Information

NPI Number	:	1376589523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH MARK BRIGICH JR. RPH

Provider Business Mailing Address
First Line	:	215 BURNSIDE RD
Second Line	:
City	:	CANONSBURG
State	:	PA
Zip	:	15317-5811
Country	:	US
Telephone Number	:	412-956-3823
Fax Number	:

Provider Business Practice Location Address
First Line	:	232 NORTH AVE
Second Line	:
City	:	MILLVALE
State	:	PA
Zip	:	15209-2502
Country	:	US
Telephone Number	:	412-821-2379
Fax Number	:	412-821-8071

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

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	07/08/2007

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