Wallace Earl Bradford in Beaumont - Pharmacist
Wallace Earl Bradford - NPI 1376655969
Wallace Earl Bradford is a Pharmacist in Beaumont, Texas. Wallace Earl Bradford practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Wallace Earl Bradford is 1376655969. The last update date is 2007-07-08.
Wallace Earl Bradford's current location address is 3420 Veterans Cir, Beaumont, Texas. You can contact this provider via phone number 4099818570. The mailing address for Wallace Earl Bradford is 3420 Veterans Cir, Beaumont, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wallace Earl Bradford |
|---|---|
| Address | 3420 Veterans Cir, Beaumont, Texas |
| Phone Number | 4099818570 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHARMACIST |
NPI Number Detail
| NPI Number | 1376655969 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3420 Veterans Cir |
|---|---|
| City | Beaumont |
| State | Texas (TX) |
| Post Code | 777072552 |
| Phone Number | 4099818570 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 36667 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Wallace Earl Bradford by the Centers for Medicare & Medicaid Services?
The Wallace Earl Bradford has been assigned the NPI (National Provider Identifier) 1376655969 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Wallace Earl Bradford?
The Wallace Earl Bradford is situated at 3420 Veterans Cir, in the city of Beaumont, state of TX, with the zip code 777072552.
What is Wallace Earl Bradford's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Wallace Earl Bradford is Pharmacist, and the taxonomy code that classifies this field of practice is 183500000X.
When was the Wallace Earl Bradford's 1376655969 issued?
The Wallace Earl Bradford's 1376655969 was issued on 2006-08-31.
As of what date was the information pertaining to Wallace Earl Bradford, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Wallace Earl Bradford, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.