Bradley, Katrina Elizabeth

Bradley, Katrina Elizabeth is an individual health care provider with primary practice located at 2833 Bella Vista Way , Bella Vista AR 72714-3709. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Bradley, Katrina Elizabeth can be contacted via phone (479) 876-2153.

Contact Information

Primary practice address
2833 Bella Vista Way Bella Vista AR 72714-3709
Phone: (479) 876-2153
Fax: (479) 876-2184
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PD14611 Arkansas

Profile Details

NPI number 1861979569
LBN Legal business name Bradley, Katrina Elizabeth
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2018
Last updated Jul 25th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861979569 NPPES
Arkansas Other PD14611 PHARMACIST LICENSE

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