Provider Demographics
NPI:1376589523
Name:BRIGICH, JOSEPH MARK JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:MARK
Last Name:BRIGICH
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 BURNSIDE RD
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-5811
Mailing Address - Country:US
Mailing Address - Phone:412-956-3823
Mailing Address - Fax:
Practice Address - Street 1:232 NORTH AVE
Practice Address - Street 2:
Practice Address - City:MILLVALE
Practice Address - State:PA
Practice Address - Zip Code:15209-2502
Practice Address - Country:US
Practice Address - Phone:412-821-2379
Practice Address - Fax:412-821-8071
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP041200R183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist