Individual
BRADLEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(502) 964-5359
Mailing address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(502) 964-5359
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019272
KY
183500000X
Pharmacist
26027490A
IN
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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