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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PAUL TUCKER BRADLEY, PHARM. D.

Active Sole Proprietor

DR. PAUL TUCKER BRADLEY, PHARM. D. is a Pharmacist healthcare provider located in NORTH LOGAN, Utah. NPI 1164822995 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · NORTH LOGAN, UT

Registration Details

NPI Number
1164822995
Provider Type
Individual
Gender
Male
NPI Issued
Aug 28, 2014 (11.944023443317 yrs)
Last Updated
Aug 28, 2014
License
8368522-1701 (UT)
Sole Proprietor
Yes

Practice Information

Address
1550 N MAIN ST
NORTH LOGAN, UT, 843411918
Browse UT providers · Browse ZIP 84341
Phone
4357530330
Fax
4357531969
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in NORTH LOGAN, UT

Name Credential NPI
MR. GREGG R LUKE R.PH. 1922024959
ERIC PARKER 1265801419
KELSEY HODGE 1386594919
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.