Individual
BRADLEY SCOTT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2305 JORDAN LN SW, HUNTSVILLE, AL 35805-3322
(256) 755-3079
Mailing address
117 HILL AVE, SYLACAUGA, AL 35150-1769
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19349
AL
390200000X
Student in an Organized Health Care Education/Training Program
S10678
AL
Other
Enumeration date
05/06/2013
Last updated
10/27/2020
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