Provider Demographics
NPI:1245517903
Name:BRAUN, ANGELA S (RPH)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:S
Last Name:BRAUN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2251 YORK CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17408-4753
Mailing Address - Country:US
Mailing Address - Phone:717-764-9661
Mailing Address - Fax:717-764-9661
Practice Address - Street 1:2251 YORK CROSSING DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17408-4753
Practice Address - Country:US
Practice Address - Phone:717-764-9661
Practice Address - Fax:717-764-9661
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-09
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP040533L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist