Individual
BRADLEY JAMES SOUTHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
545 E SANTE FE ST, OLATHE, KS 66061
(913) 393-2757
Mailing address
7703 N MERCIER ST, KANSAS CITY, MO 64118-7865
(620) 719-0071
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-103632
KS
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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