Individual
BRADLEY C TEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
11648 AL HIGHWAY 157, MOULTON, AL 35650-1382
(256) 974-5291
Mailing address
11648 AL HIGHWAY 157, MOULTON, AL 35650-1382
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19949
AL
Other
Enumeration date
11/29/2020
Last updated
11/29/2020
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