DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LARRY L. BRADEN R.PH.

MEDICARE: LARRY L. BRADEN R.PH.
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
1183500000XPharmacist008980GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487754099
Entity Type Code : Individual
Provider Name (Legal Business Name) : LARRY L. BRADEN R.PH.
Provider Business Mailing Address
First Line : 4797 S MAIN ST
Second Line :
City : ACWORTH
State : GA
Zip : 30101-5339
Country : US
Telephone Number : 770-974-5234
Fax Number : 770-974-3028
Provider Business Practice Location Address
First Line : 4797 S MAIN ST
Second Line :
City : ACWORTH
State : GA
Zip : 30101-5339
Country : US
Telephone Number : 770-974-5234
Fax Number : 770-974-3028
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2006
Last Update Date : 10/08/2019

Similar Medicare Providers

1235121617 — COMMUNITY ANCILLARY SERVICES, INC.
Practice Location Address:
4769 S MAIN ST
ACWORTH, GA
30101-5339
Practice Phone: 770-974-4277
Practice Fax: 770-974-4208
1164434999 — BENNIE C. FLANAGAN RPH
Practice Location Address:
4797 S MAIN ST
ACWORTH, GA
30101-5339
Practice Phone: 770-974-3131
Practice Fax: 770-975-9735
1548364292 — LACEY DRUG COMPANY INC
Practice Location Address:
4797 S MAIN ST
ACWORTH, GA
30101-5339
Practice Phone: 770-974-3131
Practice Fax: 770-975-9735
1831273747 — LACEY DRUG COMPANY, INC
Practice Location Address:
4797 S MAIN ST
ACWORTH, GA
30101-5339
Practice Phone: 770-974-3131
Practice Fax: 770-975-9735
1245372309 — DR. SUSAN ROSEMARY KOREY PHARMD
Practice Location Address:
4797 S MAIN ST
ACWORTH, GA
30101-5339
Practice Phone: 770-974-3131
Practice Fax: 770-975-9735
1427193465 — MRS. MERYL LYNN COOK RPH
Practice Location Address:
4797 S MAIN ST
ACWORTH, GA
30101-5339
Practice Phone: 770-974-3131
Practice Fax: 770-975-9735

Directions to “ LARRY L. BRADEN R.PH.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.