MR. Bradley Glenn Mcbeth

NPI #1932117686 in Peoria, Illinois

Provider Information

NPI Number: 1932117686
Entity Type: Individual
Name: MR. Bradley Glenn Mcbeth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 411 DR. MARTIN LUTHER KING JR. DRIVE
City: Peoria
State: Illinois
ZIP Code: 61605-2400
Phone: (309) 497-0790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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