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Individual

DR. CHAD JEREMY BRADDOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
425 DESOTO AVE, CLARKSDALE, MS 38614-5214
(662) 627-0100
(662) 627-0102
Mailing address
425 DESOTO AVE, CLARKSDALE, MS 38614-5214
(662) 627-0100
(662) 627-0102

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
33492
TN
183500000X
Pharmacist
Primary
E-09330
MS

Other

Enumeration date
05/10/2010
Last updated
04/26/2021
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