Individual
MR. CHARLES L. BRADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
104 S BRYANT AVE, EDMOND, OK 73034-6327
(405) 348-1677
(405) 359-9040
Mailing address
104 S BRYANT AVE, EDMOND, OK 73034-6327
(405) 348-1677
(405) 359-9040
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8186
OK
Other
Enumeration date
05/12/2007
Last updated
07/09/2007
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