Individual
DR. JACK C BRADBERRY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2500 CALIFORNIA PLZ, OMAHA, NE 68178-0001
(402) 280-2950
(402) 280-5738
Mailing address
13235 HAMILTON ST, OMAHA, NE 68154-5293
(402) 758-6666
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
9224
LA
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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