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

MR. WALLACE EARL BRADFORD, PHARMACIST

Active Sole Proprietor

MR. WALLACE EARL BRADFORD, PHARMACIST is a Pharmacist healthcare provider located in BEAUMONT, Texas. NPI 1376655969 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · BEAUMONT, TX

Registration Details

NPI Number
1376655969
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2006 (19.769064904686 yrs)
Last Updated
Jul 8, 2007
License
36667 (TX)
Sole Proprietor
Yes

Practice Information

Address
3420 VETERANS CIR
BEAUMONT, TX, 777072552
Browse TX providers · Browse ZIP 77707
Phone
4099818570
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in BEAUMONT, TX

Name Credential NPI
JAN E. HASSON R.PH. 1699882522
MRS. KATHLEEN MCCLELLAND R.PH. 1407968563
MR. RICHARD MURRAY LAUGHLIN JR. R PH. 1245332857
MRS. ANN R WINFIELD RPH 1720112055
MRS. VICTORIA MARIE STRATTON RPH 1013134337
MR. EMMANUEL I ONUORAH R.PH 1497088686
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.