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Individual

DR. BRADLEY LESTON CROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
606 W MAIN ST, SUITE A, COOKEVILLE, TN 38506-5325
(931) 537-3211
(931) 537-9994
Mailing address
263 HAVEN LN, COOKEVILLE, TN 38506-5756
(931) 537-6782
(931) 537-9994

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9796
TN
1835N0905X
Nuclear Pharmacist
9796
TN
1835P1200X
Pharmacotherapy Pharmacist
9796
TN

Other

Enumeration date
04/06/2007
Last updated
02/10/2010
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