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Individual

MR. BRADLEY JOHN ARTHUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
431 TONAWANDA ST, BUFFALO, NY 14207-2625
(716) 876-3070
(716) 876-7464
Mailing address
8050 HIGHLAND FARMS DR, EAST AMHERST, NY 14051-2504
(716) 639-9677
(716) 876-7464

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
037975
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00591864
NY
Enumeration date
05/25/2007
Last updated
07/08/2007
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