Individual
TRACY BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3650 GALLERIA CIR, HOOVER, AL 35244-2346
(205) 909-1041
Mailing address
100 EMERALD LAKE DR, PELHAM, AL 35124-4807
(205) 664-1015
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13345
AL
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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