Individual
MR. BRAD GIRARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5879 E 164TH ST S, BIXBY, OK 74008-3829
(918) 366-3736
Mailing address
5879 E 164TH ST S, BIXBY, OK 74008-3829
(918) 366-3736
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
11089
OK
Other
Enumeration date
07/15/2006
Last updated
07/08/2007
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