Individual
BRAD HARGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31550 CHIEFTAIN DR, LOGAN, OH 43138-9087
(740) 380-2041
Mailing address
31550 CHIEFTAIN DR, LOGAN, OH 43138-9087
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03328943
OH
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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