Individual
HALEY BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
929 S PINE ST, VIVIAN, LA 71082-3364
(318) 375-4510
Mailing address
90 KINGSTON XING APT 702, BOSSIER CITY, LA 71111-6283
(870) 831-0003
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.022051
LA
Other
Enumeration date
07/21/2017
Last updated
06/13/2022
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