Bradley Cleveland Tyre in St Simons Island - Pharmacist
Bradley Cleveland Tyre - NPI 1770612335
Bradley Cleveland Tyre is a Pharmacist in St Simons Island, Georgia. Bradley Cleveland Tyre practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Bradley Cleveland Tyre is 1770612335. The last update date is 2007-07-08.
Bradley Cleveland Tyre's current location address is 2927 Demere Rd, St Simons Island, Georgia. You can contact this provider via phone number 9126381999 and fax number 9126382112. The mailing address for Bradley Cleveland Tyre is 2927 Demere Rd, St Simons Island, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Cleveland Tyre |
|---|---|
| Address | 2927 Demere Rd, St Simons Island, Georgia |
| Phone Number | 9126381999 |
| Fax Number | 9126382112 |
| Sole Proprietor | N |
| Credentials | PHARM D. |
NPI Number Detail
| NPI Number | 1770612335 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2927 Demere Rd |
|---|---|
| City | St Simons Island |
| State | Georgia (GA) |
| Post Code | 315221620 |
| Phone Number | 9126381999 |
| Fax Number | 9126382112 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 18632 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Post Comment/ Review Below
What is the Bradley Cleveland Tyre's 1770612335?
The Bradley Cleveland Tyre's NPI (National Provider Identifier) Number is 1770612335. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Bradley Cleveland Tyre's physical address?
The Bradley Cleveland Tyre is physically located at 2927 Demere Rd, in the city of St Simons Island, GA, with the postal code 315221620.
What is Bradley Cleveland Tyre's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bradley Cleveland Tyre is Pharmacist, and the taxonomy classification code that categorizes this area of expertise is 183500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770612335 to Bradley Cleveland Tyre?
The Centers for Medicare & Medicaid Services originally issued the 1770612335 to Bradley Cleveland Tyre on 2007-03-02.
When was the information regarding Bradley Cleveland Tyre, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bradley Cleveland Tyre, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1023014131
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