Individual
DR. LISA ANN BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2041 E MAIN ST, DOTHAN, AL 36301-3005
(334) 712-6638
(334) 712-6658
Mailing address
2041 E MAIN ST, DOTHAN, AL 36301-3005
(334) 712-6638
(334) 712-6658
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
14165
AL
183500000X
Pharmacist
Primary
PS37707
FL
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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