Individual
BRADLEY THOMAS DEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5440 HIGHWAY 90 W, MOBILE, AL 36619-4227
(251) 602-1811
(251) 602-1818
Mailing address
5440 HIGHWAY 90 W, MOBILE, AL 36619-4227
(251) 602-1811
(251) 602-1818
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14553
AL
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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