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Organization
BRADLEY AND BRANDY NEIGHBORHOOD PHARMACY LLC
Active
Organization
BRADLEY AND BRANDY NEIGHBORHOOD PHARMACY LLC
Active
Other names
BRADLEY AND BRANDY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE FORD PHARMD (CEO/PIC)
(770) 877-3005
Entity
Organization
Contact information
Practice address
11 LEGACY WAY, STE E, ADAIRSVILLE, GA 30103-2464
(770) 877-3005
(770) 877-3007
Mailing address
11 LEGACY WAY, STE E, ADAIRSVILLE, GA 30103-2464
(770) 877-3005
(770) 877-3007
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009464
GA
Other
Enumeration date
05/06/2008
Last updated
08/20/2009
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