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BRADLEY JAY POE

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1831656909

Individual Registrant:
 BRADLEY JAY POE 
Gender: M
Sole Proprietor

Location and contact information for practice:
84 GUADALUPE LANE  TUBAC, AZ 85646 US
Tel: 520-398-9801  Fax: --

Contact information for business:
PO BOX 4512  TUBAC, AZ 85646-4512 US
Tel: 520-398-9801  Fax: --

Registration Information:
NPI: 1831656909
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
AZS007459

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AZ - Page 1



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