Berry, Brad
Berry, Brad is an sole proprietor health care provider with primary practice located at 1790 Deer Valley Dr , Idaho Falls ID 83401-6800. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Berry, Brad can be contacted via phone (208) 520-0088.Contact Information
Primary practice address
1790 Deer Valley Dr
Idaho Falls ID 83401-6800
Phone: (208) 520-0088
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | P5358 | Idaho |
Profile Details
| NPI number | 1518151018 |
|---|---|
| LBN Legal business name | Berry, Brad |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2007 |
| Last updated | Aug 28th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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