Active NPIIndividual provider

Mrs. Elizabeth R Bragaw, RPH, CDM

Pharmacist in Essex, Connecticut

NPI Number1114018496
Practice location
125 Westbrook RD, Essex, CT 06426-1521
Fax
860-767-3495
Last updated
July 8, 2007

Elizabeth Rose Bragaw is a Pharmacist based in Essex, CT. Elizabeth Rose Bragaw practices in Essex, CT and has the professional credentials of RPH, CDM. The NPI Number for Elizabeth Rose Bragaw is 1114018496 and holds a License No. pct8144 (CT). The current practice location address for Elizabeth Rose Bragaw is 125 Westbrook RD, Essex, CT 06426-1521 and can be reached out via phone at 860-767-2181 and via fax at 860-767-3495.

Provider Profile Details

NPI Number
1114018496
Provider Name
Elizabeth Rose Bragaw
Credential
RPH, CDM
Provider Entity Type
Individual
Gender
Female
Address
125 Westbrook RD, Essex, CT 06426-1521
Phone Number
860-767-2181
Fax Number
860-767-3495
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
September 28, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
125 Westbrook RD
Essex, CT 06426-1521
City
Essex
Zip
06426-1521
Phone Number
860-767-2181
Fax Number
860-767-3495
Essex, CT 06426Get directions →

Provider Business Mailing Address Details

Address
19 Attawan Ave
Niantic, CT 06357-3601
City
Niantic
State
CT
Zip
06357-3601
Phone Number
860-739-2364
Fax Number
860-767-3495

License Information

License Number
pct8144
License State
CT
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Elizabeth R Bragaw, RPH, CDM?

The NPI number of Mrs. Elizabeth R Bragaw, RPH, CDM is 1114018496. It was assigned on September 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Elizabeth R Bragaw, RPH, CDM?

Mrs. Elizabeth R Bragaw, RPH, CDM is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in CT under license number pct8144.

Where does Mrs. Elizabeth R Bragaw, RPH, CDM practice?

The practice location is 125 Westbrook RD, Essex, CT 06426-1521. The office can be reached at 860-767-2181 (phone) or 860-767-3495 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114018496 directly on the NPPES registry website.

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