Bradley Renick

NPI 1235434440 - Pharmacist - 183500000X

NPI Details
NPI 1235434440
Gender Male
Enumeration Date 01/19/2011
Last Updated 01/19/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1201 HIGHWAY 71 S
MENA AR, 71953-8007, US
Phone (479) 394-7136
Fax
Business Location
1201 HIGHWAY 71 S
MENA AR, 71953-8007, US
Phone
Fax
Toxanomy
Taxonomy Code 183500000X
License State Arkansas
License Number PD10589
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According to our database, Bradley Renick NPI is 1235434440, taxonomy code is 183500000X and license number is PD10589, license state is located at Arkansas. Bradley Renick physically located at 1201 Highway 71 S, Mena AR, 71953-8007. NPI Number Bradley Renick has the Individual type.

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1235434440 NPI number is provided on an as is basis without warranty of any kind. 1235434440 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley Renick are for informational purposes only.