Individual
DEBBIE BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11133 DUNN RD, SAINT LOUIS, MO 63136-6163
(314) 653-5000
Mailing address
1124 BOULDER CREEK DR APT 202, O FALLON, IL 62269-0049
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051297283
IL
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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