Individual
BRADLEY JOE HAYMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
128 WEST MAIN STREET, RAINSVILLE, AL 35986
(256) 638-4142
(256) 638-4149
Mailing address
PO BOX 428, RAINSVILLE, AL 35986-0428
(256) 638-4142
(256) 638-4149
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13935
AL
Other
Enumeration date
03/20/2021
Last updated
03/20/2021
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