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Individual

MR. BRADLEY O WOLFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
945 W ORCHARD AVE, HERMISTON, OR 97838
(541) 567-2356
(541) 564-0378
Mailing address
PO BOX 238, HERMISTON, OR 97838
(541) 567-2356
(541) 564-0378

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8945
OR

Other

Enumeration date
09/27/2006
Last updated
07/08/2007
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