Individual
MR. BRAD ALLEN HIVELY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
4869 STATE ROUTE 125, GEORGETOWN, OH 45121-9550
(937) 378-6849
(937) 378-2679
Mailing address
6035 STATE ROUTE 505, GEORGETOWN, OH 45121-9773
(937) 375-1104
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-1-20790
OH
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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