Individual
BRADLEY L POLOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2206 N BALTIMORE ST, KIRKSVILLE, MO 63501-1906
(660) 627-1297
(660) 627-4345
Mailing address
20828 OAK VIEW TRL, KIRKSVILLE, MO 63501-7079
(660) 665-3740
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043723
MO
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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