Individual
DR. PAUL TUCKER BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
1550 N MAIN ST, NORTH LOGAN, UT 84341-1918
(435) 753-0330
(435) 753-1969
Mailing address
636 S 180 E, SMITHFIELD, UT 84335-1669
(540) 394-0318
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8368522-1701
UT
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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