Individual
DR. BRADLEY RAY WENDEROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1500 SAN PABLO ST, LOS ANGELES, CA 90033
(323) 865-9974
Mailing address
14006 OTSEGO ST, SHERMAN OAKS, CA 91423-1225
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
66409
CA
Other
Enumeration date
01/23/2014
Last updated
12/10/2014
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