IVAN L BRADLEY

DELAND, FL
NPI1790127918
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: FL  ps0023023)
Enumeration Date2013-07-30
Last Update Date2018-06-20
Business Address
Mr. IVAN L BRADLEY RPh
519 HEMINGWAY CT
DELAND, FL 32720-6782
Phone number: 386-216-9598
Mailing Address
Mr. IVAN L BRADLEY RPh
519 HEMINGWAY CT
DELAND, FL 32720-6782
Phone number: 386-216-9598