Individual
JOSEPH BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 PREMIER BLVD, ROANOKE RAPIDS, NC 27870-5076
(252) 535-1170
Mailing address
955 HEDGEPETH RD, HALIFAX, NC 27839-9207
(252) 535-1170
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19375
NC
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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