NPI | 1902157712 |
---|---|
Doing Business As | BRADLEY FREE CLINIC |
Entity Type | Organization |
Authorized Contact | JAMES BLACK Pharmacist In Charge 540-344-5156 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 333600000X Pharmacy (Licence: VA 0201002648) |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2012-09-20 |
Last Update Date | 2021-02-03 |