# BRADEN MED SVS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GILLESPIES DRUGS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336181296
- **Authorized official:** KYLE HUCK (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (740) 732-2356

## Contact information

- **Practice address:** 44523 MARIETTA RD, CALDWELL, OH 43724-9209
- **Practice address phone:** (740) 732-2356
- **Practice address fax:** (740) 732-2377
- **Mailing address:** 44523 MARIETTA RD, CALDWELL, OH 43724-9209
- **Mailing address phone:** (740) 732-2356
- **Mailing address fax:** (740) 732-2377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 021296950 | OH | Yes |

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 04/17/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2074368 | PK | — |
| 05 | — | 2286557 | — | OH |