Individual
BRADLEY JOHN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
500 CROSSROADS DR SW, ROCHESTER, MN 55902-2180
(507) 280-9441
Mailing address
2504 CLUBHOUSE DR, LAKE CITY, MN 55041-4919
(507) 460-2310
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115053
MN
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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