Individual
BRADLEY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
954 JOE FRANK HARRIS PKWY SE, CARTERSVILLE, GA 30120-2129
(770) 383-3055
Mailing address
13000 N CRISPIN WAY, PLATTE CITY, MO 64079-7933
(816) 985-9846
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH020897
GA
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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