Individual
BRAD RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1191 WESTOWNE DR, NEENAH, WI 54956-2176
(920) 725-3152
Mailing address
1191 WESTOWNE DR, NEENAH, WI 54956-2176
(920) 725-3152
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
20124
NV
183500000X
Pharmacist
Primary
20665-40
WI
Other
Enumeration date
08/26/2020
Last updated
06/16/2023
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