Individual
BRADLEY A BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
320 S MAIN ST, MARION, KY 42064-1545
(270) 967-9007
(270) 967-9008
Mailing address
320 S MAIN ST, PO BOX 437, MARION, KY 42064-0437
(270) 967-9007
(270) 967-9008
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
013731
KY
Other
Enumeration date
02/20/2007
Last updated
01/10/2021
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