Individual
BRADLEY SAMUAL WIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3580 N FEDERAL HWY, LIGHTHOUSE POINT, FL 33064-6608
(954) 943-3244
Mailing address
12861 146TH PL N, WEST PALM BEACH, FL 33418-7934
(561) 870-3102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS55567
FL
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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