Individual
BRADLEY WADE ALSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
365 NEW SHACKLE ISLAND RD, HENDERSONVILLE, TN 37075-2328
(615) 826-1323
(615) 826-6694
Mailing address
365 NEW SHACKLE ISLAND RD, HENDERSONVILLE, TN 37075-2328
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33405
TN
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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