Individual
DR. BRADLEY JOHN PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3029 HIGHWAY K, O FALLON, MO 63368-8696
(636) 240-7749
(636) 240-7904
Mailing address
242 CEDAR TRAIL DR, BALLWIN, MO 63011-2655
(314) 682-9655
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2021000059
MO
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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