Individual
BRADLEY RANDALL BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 295-6301
(925) 295-6290
Mailing address
3173 LUCAS DR, LAFAYETTE, CA 94549-5561
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
51099
CA
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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