NPI 1114519055

Justin Aaron Bradford, PHARMD

Practitioner Pharmacist Covington, TN

Practice location

Address: 1500 Highway 51 S, Covington, TN 38019-3212
Phone: (901) 475-6300
Fax: (901) 475-1888

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 24224 (TN)

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Registry record

NPI: 1114519055
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Feb 2021
Record last updated: 10 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.