Individual
ALLYSSA NICCOLE BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2700 MOUNTAINEER BLVD, SOUTH CHARLESTON, WV 25309-9442
(304) 746-1725
Mailing address
735 OAKWOOD RD APT 5, CHARLESTON, WV 25314-1761
(304) 763-1820
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0011960
WV
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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