Bradley Renick

NPI #1235434440 in Mena, Arkansas

Provider Information

NPI Number
1235434440
Entity Type
Individual
Name
Bradley Renick
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Jan 19, 2011
Last Updated
Jan 19, 2011

Practice Location

Address
1201 HIGHWAY 71 S
City
Mena
ZIP Code
71953-8007
Phone
(479) 394-7136

Specialties & Taxonomy Codes

Specialty
Pharmacist

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