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Individual

BRADFORD WILLIAMSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
4393 S RIVERBOAT RD STE 100, TAYLORSVILLE, UT 84123-2527
(508) 838-5181
Mailing address
4393 S RIVERBOAT RD STE 100, TAYLORSVILLE, UT 84123-2527

Taxonomy

Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
11890421-1701
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11890421-1701
STATE OF UTAH- PHARMACIST LICENSE
Enumeration date
11/09/2021
Last updated
11/09/2021
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