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Individual

MR. BRAD TERRY PALMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
2360 STONY BROOK DR, LOUISVILLE, KY 40220-4018
(502) 493-8719
(502) 493-0164
Mailing address
2360 STONY BROOK DR, LOUISVILLE, KY 40220-4018
(502) 493-8719
(502) 493-0164

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7489
KY

Other

Enumeration date
10/31/2011
Last updated
10/31/2011
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