Individual
BRADLEY PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
260 W 54TH ST, APT 25B, NEW YORK, NY 10019-5539
(212) 608-8416
(212) 608-8457
Mailing address
260 W 54TH ST, APT 25B, NEW YORK, NY 10019-5539
(212) 608-8416
(212) 608-8457
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
053072
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002461154
—
NY
Enumeration date
02/22/2009
Last updated
02/22/2009
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