Polovich, Bradley L

Polovich, Bradley L is an sole proprietor health care provider with primary practice located at 2206 N Baltimore St , Kirksville MO 63501-1906. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Polovich, Bradley L can be contacted via phone (660) 627-1297.

Contact Information

Primary practice address
2206 N Baltimore St Kirksville MO 63501-1906
Phone: (660) 627-1297
Fax: (660) 627-4345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 043723 Missouri

Profile Details

NPI number 1609476076
LBN Legal business name Polovich, Bradley L
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2020
Last updated Oct 27th, 2020 - about 6 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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