Individual
MR. BRADLEY E HOMMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1434 PORTER ST, FORT DETRICK, MD 21702-9210
(301) 619-6710
Mailing address
1434 PORTER STREET, FORT DETRICK, MD 21702-9210
(301) 619-6710
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11234
CO
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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