Individual
BRADLEY FRANK PROGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
227 FOX HILL RD # 2, HAMPTON, VA 23669-1739
(757) 851-0660
Mailing address
206 JESSICA DR, YORKTOWN, VA 23693-1911
(757) 867-7710
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202009766
VA
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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