Individual
DR. BRADLEY D LOCKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S., PHARM. D.
Contact information
Practice address
4951 S WHITE MOUNTAIN RD STE 1500, SHOW LOW, AZ 85901-7801
(928) 537-6336
Mailing address
PO BOX 2843, 908 S EVERGREEN DRIVE, PINETOP, AZ 85935-2843
(480) 204-0951
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
10203
NE
183500000X
Pharmacist
Primary
13489
AZ
Other
Enumeration date
08/19/2013
Last updated
05/21/2019
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