Individual
MR. BRADLEY SCOTT PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
205 S PARK LN STE 110, ALTUS, OK 73521-5733
(580) 482-6464
Mailing address
509 CASA ALEGRE CIR, ALTUS, OK 73521-1126
(580) 482-8302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11472
OK
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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