Individual
DR. BRADY THOMAS MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
150 NE KENNETH FORD DR, ROSEBURG, OR 97470-1042
(541) 492-2078
Mailing address
150 NE KENNETH FORD DR, ROSEBURG, OR 97470-1042
(541) 492-2078
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
14405
OR
183500000X
Pharmacist
55018
TX
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
14405
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-14405
OR
Other
Enumeration date
10/13/2011
Last updated
07/09/2025
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