Individual
MR. CHARLES BRADLEY MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2415 RING ROAD, ELIZABETHTOWN, KY 42701
(270) 765-2157
Mailing address
158 MAYAPPLE LN, ELIZABETHTOWN, KY 42701-8922
(270) 765-3335
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011417
KY
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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