Individual
MR. BRAD ISHEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
191 REUNION BLVD, MADISON, MS 39110-8095
(601) 906-5557
Mailing address
191 REUNION BLVD, MADISON, MS 39110-8095
(601) 906-5557
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-08672
MS
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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