Individual
DR. LARRY EMMETT BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
801 W. JOE HARVEY, HOBBS, NM 88240-0801
(575) 392-0053
Mailing address
801 W. JOE HARVEY, HOBBS, NM 88240-0801
(575) 392-0053
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006333
NM
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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