Individual
LAETITIA BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3350 PEACHTREE RD NE, ATLANTA, GA 30326-1039
(866) 787-6341
Mailing address
523 VININGS OAKS RUN, MABLETON, GA 30126-7240
(786) 325-8353
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH026168
GA
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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