Individual
SHELBY LAUREN BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(251) 589-9217
Mailing address
10600 CATTLE BRANCH CT, MOBILE, AL 36608-8810
(251) 589-9217
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23177
AL
Other
Enumeration date
01/14/2021
Last updated
06/17/2024
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