Provider Demographics
NPI:1316182272
Name:BRIGGS, BEN L (RPH, CNC)
Entity Type:Individual
Prefix:MR
First Name:BEN
Middle Name:L
Last Name:BRIGGS
Suffix:
Gender:M
Credentials:RPH, CNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 GORDON DR.
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-1201
Mailing Address - Country:US
Mailing Address - Phone:610-363-7474
Mailing Address - Fax:610-363-5707
Practice Address - Street 1:309 GORDON DR.
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-1201
Practice Address - Country:US
Practice Address - Phone:610-363-7474
Practice Address - Fax:610-363-5707
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0806P133N00000X
PARP027578L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No183500000XPharmacy Service ProvidersPharmacist