Individual
BRADLEY WAYNE PRATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
600 SOUTH AVE, TALLMADGE, OH 44278-2828
(330) 633-2200
(330) 633-9910
Mailing address
600 SOUTH AVE, TALLMADGE, OH 44278-2828
(330) 633-2200
(330) 633-9910
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03216802
OH
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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