MR. BRENT BRADLEY P.D. NPI 1255760179

NPI Information

MR. Brent Bradley, P.D. is a community/retail pharmacy pharmacy in Maumelle, AR. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. MR. Brent Bradley, P.D. NPI is 1255760179. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1900 CLUB MANOR
MAUMELLE, AR
ZIP 72113
Phone: (501) 803-9400
Fax: (501) 803-9441

The enumeration date for this NPI number is 11/1/2013 and was last updated on 11/1/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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