Brady Black

NPI #1881235000 in Price, Utah

Provider Information

NPI Number: 1881235000
Entity Type: Individual
Name: Brady Black
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Sep 30, 2019
Last Updated: Sep 30, 2019

Practice Location

Address: 1075 E MAIN ST
City: Price
State: Utah
ZIP Code: 84501-2712
Phone: (435) 630-0840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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