Individual
LISA BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1601 MONMOUTH ST, NEWPORT, KY 41071-2634
(859) 291-7343
Mailing address
1 GUARDIAN DR, WILDER, KY 41076-9714
(859) 802-4302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010891
KY
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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