Individual
COREY L BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
101 GAINSBOROUGH SQ, CHESAPEAKE, VA 23320-1707
(757) 547-2456
Mailing address
101 GAINSBOROUGH SQ, CHESAPEAKE, VA 23320-1707
(757) 547-2456
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202218970
VA
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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