Individual
BEN BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
214 S MAIN ST, FAIRMONT, NC 28340-1904
(910) 628-6362
(910) 628-9334
Mailing address
214 S MAIN ST, FAIRMONT, NC 28340-1904
(910) 628-6362
(910) 628-9334
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6337
NC
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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