Individual
DR. BRADY BERNARD RATLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
31 E VALLEY DR, BRISTOL, VA 24201-2822
(276) 669-4640
Mailing address
38 MEADOWS EDGE CT, JONESBOROUGH, TN 37659-4482
(276) 494-3005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
020220426
VA
183500000X
Pharmacist
Primary
45141
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020220426
VIRGINIA BOARD OF PHARMACY
VA
01
—
45141
TENNESSEE BOARD OF PHARMACY
TN
Enumeration date
01/12/2022
Last updated
06/15/2022
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