Provider Demographics
NPI:1841421807
Name:BRACAGLIA, JAMES R (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:R
Last Name:BRACAGLIA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 BEAVER ST
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-1701
Mailing Address - Country:US
Mailing Address - Phone:412-741-9250
Mailing Address - Fax:
Practice Address - Street 1:517 BEAVER ST
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1701
Practice Address - Country:US
Practice Address - Phone:412-741-9250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2011-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP443824183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist