NPI | 1407157167 |
---|---|
Doing Business As | BRADLEY'S HEALTHMART |
Entity Type | Organization |
Authorized Contact | BRENT BRADLEY President/Owner/PIC 501-553-3604 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR20638) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2010-11-11 |
Last Update Date | 2017-04-05 |