Provider Demographics
NPI:1013901057
Name:DADEY, BRUCE WILLIAM (RPH)
Entity type:Individual
Prefix:
First Name:BRUCE
Middle Name:WILLIAM
Last Name:DADEY
Suffix:
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 1:9893 CONESTOGA CT
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9338
Mailing Address - Country:US
Mailing Address - Phone:724-934-7747
Mailing Address - Fax:
Practice Address - Street 1:825 BEAVER GRADE RD
Practice Address - Street 2:
Practice Address - City:MOON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15108-2639
Practice Address - Country:US
Practice Address - Phone:412-232-1570
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP032276L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist