Bruce R Mottershead
Pharmacist in West Berlin, New Jersey
1730785536- Practice location
- 200 N Route 73 Unit 36, West Berlin, NJ 08091-1429
- Phone
- 856-768-6688
- Fax
- 856-768-9779
- Last updated
- December 12, 2020
Bruce Robert Mottershead is a Pharmacist based in West Berlin, NJ. Bruce Robert Mottershead practices in West Berlin, NJ. The NPI Number for Bruce Robert Mottershead is 1730785536 and holds a License No. 28RI01762800 (NJ). The current practice location address for Bruce Robert Mottershead is 200 N Route 73 Unit 36, West Berlin, NJ 08091-1429 and can be reached out via phone at 856-768-6688 and via fax at 856-768-9779.
Provider Profile Details
- NPI Number
- 1730785536
- Provider Name
- Bruce Robert Mottershead
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 200 N Route 73 Unit 36, West Berlin, NJ 08091-1429
- Phone Number
- 856-768-6688
- Fax Number
- 856-768-9779
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 7, 2020
- Last Update Date
- December 12, 2020
- Certification Date
- December 12, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 N Route 73 Unit 36
West Berlin, NJ 08091-1429 - City
- West Berlin
- State
- New Jersey
- Zip
- 08091-1429
- Phone Number
- 856-768-6688
- Fax Number
- 856-768-9779
Provider Business Mailing Address Details
- Address
- 200 N Route 73 Unit 36
West Berlin, NJ 08091-1429 - City
- West Berlin
- State
- NJ
- Zip
- 08091-1429
- Phone Number
- 856-768-6688
- Fax Number
- 856-768-9779
License Information
- License Number
- 28RI01762800
- License State
- NJ
- Taxonomy
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Bruce R Mottershead?
The NPI number of Bruce R Mottershead is 1730785536. It was assigned on December 7, 2020 and is currently active in the NPPES registry.
What is the specialty of Bruce R Mottershead?
Bruce R Mottershead is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI01762800.
Where does Bruce R Mottershead practice?
The practice location is 200 N Route 73 Unit 36, West Berlin, NJ 08091-1429. The office can be reached at 856-768-6688 (phone) or 856-768-9779 (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 1730785536 directly on the NPPES registry website.