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Individual

BRADLEY S HARGIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPHT

Contact information

Practice address
3135 MAIN ST, PIKEVILLE, TN 37367-5752
(423) 447-2434
(423) 447-6151
Mailing address
191 OLD SAMPSON RD, PIKEVILLE, TN 37367-6868
(423) 653-6369
(423) 447-6151

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
22441
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
858630
NABP
Enumeration date
02/09/2021
Last updated
02/09/2021
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