Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RICHARD DARRELL BRADLEY, RPH
Active Sole ProprietorMR. RICHARD DARRELL BRADLEY, RPH is a Pharmacist healthcare provider located in STATE LINE, Mississippi. NPI 1649317769 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · STATE LINE, MS
Registration Details
- NPI Number
- 1649317769
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2007 (19.510304269342 yrs)
- Last Updated
- Jul 9, 2007
- License
-
E-6230 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
194 MAIN ST.STATE LINE, MS, 393620159Browse MS providers · Browse ZIP 39362
- Phone
- 6018487866
- Fax
- 6018487866
- Primary Specialty
-
Pharmacist
183500000X
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.