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Individual

DR. BRADLEY BINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
5301 E GRANT RD, TUCSON, AZ 85712-2874
(520) 324-5122
Mailing address
5301 E GRANT RD, TUCSON, AZ 85712-2874
(520) 324-5122

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
S024694
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S024694
STATE BOARD OF PHARMACY
AZ
Enumeration date
03/23/2021
Last updated
03/23/2021
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