Individual
BRADLEY EUGENE TESKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
951 E FRONTAGE RD, LITCHFIELD, MN 55355-2613
(320) 693-3261
(320) 593-3264
Mailing address
951 E FRONTAGE RD, LITCHFIELD, MN 55355-2613
(320) 693-3261
(320) 593-3264
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
111662
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111662
MINNESOTA BOARD OF PHARMACY
MN
Enumeration date
12/29/2010
Last updated
12/29/2010
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