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KATRINA ELIZABETH BRADLEY PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1861979569

Individual Registrant:
 KATRINA ELIZABETH BRADLEY PHARMD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2833 BELLA VISTA WAY  BELLA VISTA, AR 72714-3709 US
Tel: 479-876-2153  Fax: 479-876-2184

Contact information for business:
2171 BUCK CV  PEA RIDGE, AR 72751-5000 US
Tel: 479-426-0614  Fax: --

Registration Information:
NPI: 1861979569
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
ARPD14611

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
PHARMACIST LICENSEPD14611AR01




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