Maggi Bradley

NPI #1083206353 in Idaho Falls, Idaho

Provider Information

NPI Number: 1083206353
Entity Type: Individual
Name: Maggi Bradley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Feb 8, 2021
Last Updated: Feb 8, 2021

Practice Location

Address: 1604 W BROADWAY ST
City: Idaho Falls
State: Idaho
ZIP Code: 83402-3048
Phone: (208) 522-4655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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