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

LORI RAE BRADLEY, RPH

Active Sole Proprietor

Pharmacist · KELSEY, CA

Registration Details

NPI Number
1194133660
Provider Type
Individual
Gender
Female
NPI Issued
Jul 29, 2014 (11.75670081406 yrs)
Last Updated
Jul 29, 2014
Licenses
49569 (CA)
26019332A (IN)
Sole Proprietor
Yes

Practice Information

Address
6021 W RED BERRY HILL LN
KELSEY, CA, 956677402
Browse CA providers · Browse ZIP 95667
Phone
5306220206
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist
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.