BRADLEY DAVID DEDIC

FORT WAYNE, IN
NPI1205317807
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IN  26027863A)
Additional Taxonomies183500000X Pharmacist
(Licence: IL  051300511)
Enumeration Date2018-08-22
Last Update Date2018-08-22
Business Address
BRADLEY DAVID DEDIC PharmD
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-266-1000
Mailing Address
BRADLEY DAVID DEDIC PharmD
1150 EWING ST APT 316
FORT WAYNE, IN 46802-3367
Phone number: 309-824-1695