Individual
DANIEL BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2727 E BROADWAY RD, MESA, AZ 85204-1530
(480) 464-4742
(480) 644-0964
Mailing address
3637 E MARLENE DR, GILBERT, AZ 85296-1870
(480) 985-1806
(480) 644-0964
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8312
AZ
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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