Individual
BRAD BAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2051 N STATE ST, IOLA, KS 66749
(620) 380-6400
Mailing address
505 N KENTUCKY ST, IOLA, KS 66749-2533
(620) 228-3349
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-106216
KS
Other
Enumeration date
07/02/2018
Last updated
07/14/2019
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