Individual
MR. BRADLEY JOHN NOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8278
(616) 940-5805
Mailing address
5300 BONASA DR NE, ROCKFORD, MI 49341-8153
(616) 581-0281
(616) 581-0281
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302029818
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302029818
R.PH. LICENSE
MI
Enumeration date
02/14/2007
Last updated
11/09/2023
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