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Individual

MR. JAMES MICHAEL BRAGG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
4640 TAYLORSVILLE RD, LOUISVILLE, KY 40220-3530
(502) 493-2732
Mailing address
14610 INSPIRATION CT, LOUISVILLE, KY 40245-3951
(502) 290-0293

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010230
KY

Other

Enumeration date
06/17/2011
Last updated
06/17/2011
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