Individual
MR. BRADLEY JAMES OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PD
Contact information
Practice address
1000 W TRIMBLE AVE, BERRYVILLE, AR 72616-4603
(870) 423-6611
(870) 423-6612
Mailing address
621 MADISON 1919, HUNTSVILLE, AR 72740-4002
(479) 387-8925
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD07915
AR
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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