Provider Demographics
NPI:1215006523
Name:BRAUNAGEL, CARL JOSEPH JR (RPH)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:JOSEPH
Last Name:BRAUNAGEL
Suffix:JR
Gender:M
Credentials:RPH
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Mailing Address - Street 1:10 SUSSEX ST # 12
Mailing Address - Street 2:ALITONS PHARMACY
Mailing Address - City:PORT JERVIS
Mailing Address - State:NY
Mailing Address - Zip Code:12771-2421
Mailing Address - Country:US
Mailing Address - Phone:845-856-8314
Mailing Address - Fax:845-856-8315
Practice Address - Street 1:10 SUSSEX ST # 12
Practice Address - Street 2:ALITONS PHARMACY
Practice Address - City:PORT JERVIS
Practice Address - State:NY
Practice Address - Zip Code:12771-2421
Practice Address - Country:US
Practice Address - Phone:845-856-8314
Practice Address - Fax:845-856-8315
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2010-02-03
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Provider Licenses
StateLicense IDTaxonomies
NY037361-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist