Individual
BRADLEY S DEEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
311 STRAIGHT ST, CINCINNATI, OH 45219-1018
(513) 559-2346
(513) 475-5269
Mailing address
3392 WOODLYN HILLS DR, ERLANGER, KY 41018-2600
(859) 426-7764
(513) 475-5269
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
012193
KY
183500000X
Pharmacist
Primary
03-1-24778
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012193
KY PHARMACIST LICENSE #
KY
01
—
03-1-24778
OHIO PHARMACIST LICENSE #
OH
Enumeration date
01/15/2007
Last updated
07/08/2007
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