Individual
SHANIA BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
323 S WALKER ST, PRINCETON, WV 24740-2756
(304) 431-4967
Mailing address
237 BRADFORD LN, SAULSVILLE, WV 25876-0002
(304) 763-1822
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0012697
WV
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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