Alphonsus M Brady

NPI #1912374505 in Bloomington, Illinois

Provider Information

NPI Number: 1912374505
Entity Type: Individual
Name: Alphonsus M Brady
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Aug 31, 2015
Last Updated: Aug 31, 2015

Practice Location

Address: 2510 E WASHINGTON ST
Address 2: APT #13
City: Bloomington
State: Illinois
ZIP Code: 61704-4447
Phone: (309) 660-4210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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