Individual
MR. BRADLEY SCOTT HEISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25401-9990
(304) 263-0811
(304) 262-7439
Mailing address
20 PIONEER CT, MARTINSBURG, WV 25401-6849
(304) 262-4118
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5962
WV
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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