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NPI Code Detail

MEDICARE: DR. BRADLEY WILLIAM VANRIPER PHARMD

MEDICARE:  DR. BRADLEY WILLIAM VANRIPER  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
1183500000XPharmacistPS34850FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PS34850OTHERFLSTATE LICENSE NUMBER

General Provider Information

NPI Number : 1164416392
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRADLEY WILLIAM VANRIPER PHARMD
Provider Business Mailing Address
First Line : 3830 NW 35TH PL
Second Line :
City : GAINESVILLE
State : FL
Zip : 32606-8120
Country : US
Telephone Number : 352-371-9782
Fax Number :
Provider Business Practice Location Address
First Line : 1170 E UNIVERSITY AVE
Second Line :
City : GAINESVILLE
State : FL
Zip : 32641-5614
Country : US
Telephone Number : 352-380-0131
Fax Number : 352-380-0223
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2005
Last Update Date : 08/25/2020

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Directions to “ DR. BRADLEY WILLIAM VANRIPER PHARMD” Practice Location

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