Individual
AMANDA BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2125 CLOVERDALE AVE, WINSTON SALEM, NC 27103-2506
(336) 723-0561
Mailing address
1712 S STRATFORD RD, WINSTON SALEM, NC 27103-2926
(336) 765-2967
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24510
NC
Other
Enumeration date
09/28/2014
Last updated
12/28/2015
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