Individual
BRADLEY M PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
601 S COUNTY FARM RD, T-0838, WHEATON, IL 60187-4529
(630) 510-1685
Mailing address
601 S COUNTY FARM RD, T-0838, WHEATON, IL 60187-4529
(630) 510-1685
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.289490
IL
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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