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Individual

BRADLEY E. PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
184 VALLETTE ST, CRANSTON, RI 02920-6224
(401) 273-7100
(401) 457-3372
Mailing address
184 VALLETTE ST, CRANSTON, RI 02920-6224
(401) 273-7100
(401) 457-3372

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
RPH02809
RI

Other

Enumeration date
08/01/2006
Last updated
07/08/2007
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