BRADLEY LOUIS MCCOUL

CANTON, GA
NPI1790390706
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: GA  RPH031367)
Enumeration Date2020-09-15
Last Update Date2020-09-17
Business Address
BRADLEY LOUIS MCCOUL
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115-8015
Phone number: 770-224-2484
Mailing Address
BRADLEY LOUIS MCCOUL
106 PARTRIDGE RDG
WOODSTOCK, GA 30188-3113
Phone number: 404-429-8969