SASHA KATE BRADLE

ROCKFORD, IL
NPI1063794352
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051294282)
Additional Taxonomies183500000X Pharmacist
(Licence: WI  16480040)
Enumeration Date2011-09-13
Last Update Date2011-09-13
Business Address
Dr. SASHA KATE BRADLE PharmD
5690 EAST STATE STREET
ROCKFORD, IL 61108
Phone number: 815-395-1828
Mailing Address
Dr. SASHA KATE BRADLE PharmD
4512 TANGLEWOOD DRIVE
JANESVILLE, WI 53546
Phone number: 815-978-0399