Doctor Name: | MR. BRENT BRADLEY |
NPI Number: | 1255760179 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.D. |
License Number: | |
Business Practice Address: | 1900 Club Manor Maumelle, AR - 72113 |
Business Phone Number: | 5018039400 |
Business Fax Number: | 5018039441 |
Mailing Address: | 1900 Club Manor, MAUMELLE |
State: | AR |
Postal Code: | 72113 |
Phone Number: | 5018039400 |
Fax Number: | 5018039441 |
NPI Enumeration Date: | 11/01/2013 |
NPI Last Update Date: | 11/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0003X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Community/Retail Pharmacy |
Taxonomy Definition: | A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |