WALLACE EARL BRADFORD

BEAUMONT, TX
NPI1376655969
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: TX  36667)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
Mr. WALLACE EARL BRADFORD Pharmacist
3420 VETERANS CIR
BEAUMONT, TX 77707-2552
Phone number: 409-981-8570
Mailing Address
Mr. WALLACE EARL BRADFORD Pharmacist
125 HUNTERS CT
LUMBERTON, TX 77657-7317
Phone number: 409-755-2033