Individual
BRADLY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 UNION AVE, GRANTS PASS, OR 97527-5579
(541) 471-4873
(541) 471-8721
Mailing address
111 UNION AVE, GRANTS PASS, OR 97527-5579
(541) 471-4873
(541) 471-8721
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0009946
OR
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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