Individual
DR. BRADY RAYMOND TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 AIRPORT RD, SEDONA, AZ 86336-5805
(928) 282-8569
Mailing address
5123 E HERMOSA DR, CORNVILLE, AZ 86325-5149
(518) 223-5998
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S023002
AZ
Other
Enumeration date
09/28/2017
Last updated
03/20/2022
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