Individual
MR. BRADLEY RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1423 SCENIC DR, ARNOLD, MO 63010-1034
(314) 570-7214
Mailing address
1423 SCENIC DR, ARNOLD, MO 63010-1034
(314) 570-7214
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
040749
MO
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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