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Organization
BRADSHAW ECONOMY DRUG INC.
Active
Organization
BRADSHAW ECONOMY DRUG INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BROYLES (OWNER/PRESIDENT)
(304) 967-9333
Entity
Organization
Contact information
Practice address
10029 MARSHALL HIGHWAY, BRADSHAW, WV 24817
(307) 967-9333
(304) 967-9355
Mailing address
PO BOX 205, HURLEY, VA 24620-0205
(307) 967-9333
(304) 967-9355
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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