Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHAD JEREMY BRADDOCK, PHARMD
Active Sole ProprietorDR. CHAD JEREMY BRADDOCK, PHARMD is a Pharmacist healthcare provider located in CLARKSDALE, Mississippi. NPI 1912225343 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · CLARKSDALE, MS
Registration Details
- NPI Number
- 1912225343
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 10, 2010 (16.241160500234 yrs)
- Last Updated
- Apr 26, 2021
- Licenses
-
33492 (TN)E-09330 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
425 DESOTO AVECLARKSDALE, MS, 386145214Browse MS providers · Browse ZIP 38614
- Phone
- 6626270100
- Fax
- 6626270102
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacist
Other Pharmacist Providers in CLARKSDALE, MS
| Name | Credential | NPI |
|---|---|---|
| VAL SOLDEVILA | RPH, CFO | 1922195643 |
| VALERIE HARTSFIELD | RPH | 1528377579 |
| ALVIN CLAYTON DIXON | — | 1891252805 |
| SARAH VANCE | PHARMD | 1265032668 |
| SHIRLEY BRIANNE POUNDERS | PHARMD | 1922608306 |
| MRS. MALENDIA HITE THORNTON | RPH | 1174124028 |
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.