BRADLEY MICHAEL SUNDSBOE

COUNCIL BLUFFS, IA
NPI1811448756
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: NE  15313)
Additional Taxonomies183500000X Pharmacist
(Licence: IA  22832)
Enumeration Date2016-10-15
Last Update Date2024-09-29
Business Address
BRADLEY MICHAEL SUNDSBOE
2508 W BROADWAY
COUNCIL BLUFFS, IA 51501-3509
Phone number: 402-861-6966
Mailing Address
BRADLEY MICHAEL SUNDSBOE
2508 W BROADWAY
COUNCIL BLUFFS, IA 51501-3509
Phone number: 712-328-2266