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NPI Code Detail

MEDICARE: DR. CHERYL A BRADFORD PHARMD

MEDICARE: DR. CHERYL A BRADFORD PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist19121CO

General Provider Information

NPI Number : 1861771289
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHERYL A BRADFORD PHARMD
Provider Business Mailing Address
First Line : 2512 BROADWAY
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81507-2758
Country : US
Telephone Number : 970-257-0233
Fax Number : 970-257-7802
Provider Business Practice Location Address
First Line : 2512 BROADWAY
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81507-2758
Country : US
Telephone Number : 970-257-0233
Fax Number : 970-257-7802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2011
Last Update Date : 04/27/2017

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