Individual
BRADFORD LOUIS MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9084 FERRY CREEK DR, SHREVEPORT, LA 71106-8404
(318) 780-1698
Mailing address
9084 FERRY CREEK DR, SHREVEPORT, LA 71106-8404
(318) 780-1698
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14520
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14520
PHARMACIST
LA
Enumeration date
09/29/2020
Last updated
09/29/2020
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