Individual
DR. BRADLEY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
506 S FRANKLIN ST, WATKINS GLEN, NY 14891-1524
(607) 972-3207
Mailing address
8489 W CREEK RD, BERKSHIRE, NY 13736-2807
(607) 972-3207
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
056854
NY
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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