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Organization
WALGREENS
Active
Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY SCOTT BIDESE PHARM.D. (PHARMACIST)
(708) 912-0348
Entity
Organization
Contact information
Practice address
1919 N DOBSON, PHOENIX, AZ 85524
(480) 899-6713
(480) 899-3415
Mailing address
14409 S 49TH ST, PHOENIX, AZ 85044
(708) 912-0348
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020688
AZ
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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