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Individual
ZACHARY ADAM BRADSHAW
Active
Individual
ZACHARY ADAM BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42307
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42307
TN BOARD OF PHARMACY LICENSE NUMBER
TN
Enumeration date
08/13/2020
Last updated
08/13/2020
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