Individual
KIETH DANA BRADBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
11 NEWBURY ST, DANVERS, MA 01923-1014
(978) 750-4334
(978) 750-4897
Mailing address
5 JEWETT RD, BEVERLY, MA 01915-1905
(978) 922-3212
(978) 750-4334
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19287
MA
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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