Individual
MR. JOHN FAUNCE BRADY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
9628 REA RD, CHARLOTTE, NC 28277-6697
(704) 542-5072
(704) 542-7035
Mailing address
807 SPRINGWOOD DR, WAXHAW, NC 28173-7230
(848) 448-5275
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18120
NC
Other
Enumeration date
01/17/2011
Last updated
01/17/2011
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