Individual
KYLE AARON BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3184 OCEAN BEACH HWY, LONGVIEW, WA 98632-4395
(360) 636-6723
Mailing address
3635 NEBRASKA ST, LONGVIEW, WA 98632-4767
(360) 562-7714
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
61281475
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
61281475
WA
Other
Enumeration date
10/23/2023
Last updated
01/16/2024
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