Individual
JENNIFER RENAE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1403 N MAIN ST, BLACKSBURG, VA 24060-2563
(540) 552-3000
(540) 552-3005
Mailing address
3968 CUMBERLAND GAP RD, NEWPORT, VA 24128-4239
(540) 392-0154
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202219683
VA
Other
Enumeration date
08/14/2021
Last updated
08/14/2021
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