Individual
MR. BRADLEY JACOB GOEDEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
8320 MADISON AVE, INDIANAPOLIS, IN 46227-6066
(317) 881-7061
(317) 881-7658
Mailing address
8320 MADISON AVE, INDIANAPOLIS, IN 46227-6066
(317) 881-7061
(317) 881-7658
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022393A
IN
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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