Organization
BRADFORD PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETTY ANN HOY RPH (OWNER PHARMACIST)
(309) 897-2701
Entity
Organization
Contact information
Practice address
102 W MAIN STREET, BRADFORD, IL 61421
(309) 897-2701
(309) 897-8190
Mailing address
102 W MAIN STREET, BRADFORD, IL 61421
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
054004928
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1410543
NCPDP
IL
Enumeration date
02/12/2007
Last updated
06/23/2008
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