Individual
JESSICA BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
777 N MAIN ST, EPHRAIM, UT 84627-1165
(435) 283-8194
(435) 283-8205
Mailing address
254 S 100 E, EPHRAIM, UT 84627-1303
(208) 715-5595
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6374787-8911
UT
183500000X
Pharmacist
P7243
ID
Other
Enumeration date
09/07/2018
Last updated
02/23/2024
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