Individual
BRADLEY ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
437 WILSON ST, BREWER, ME 04412-1414
(207) 991-9679
Mailing address
437 WILSON ST, BREWER, ME 04412-1414
(207) 991-9679
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR68591
ME
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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