Organization
BRADEN MED SVS INC
Active
Other names
GILLESPIES DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE HUCK (DIRECTOR OF OPERATIONS)
(740) 732-2356
Entity
Organization
Contact information
Practice address
44523 MARIETTA RD, CALDWELL, OH 43724-9209
(740) 732-2356
(740) 732-2377
Mailing address
44523 MARIETTA RD, CALDWELL, OH 43724-9209
(740) 732-2356
(740) 732-2377
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021296950
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2074368
PK
—
05
—
2286557
—
OH
Enumeration date
06/12/2006
Last updated
04/17/2017
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