Individual
BRADLY BEAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1113 W MICHIGAN AVE, THREE RIVERS, MI 49093-2162
(269) 279-9702
Mailing address
1113 W MICHIGAN AVE, THREE RIVERS, MI 49093-2162
(269) 279-9702
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03213963
OH
183500000X
Pharmacist
Primary
5302027290
MI
Other
Enumeration date
05/06/2011
Last updated
05/06/2011
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