MEDICARE: DR. BRADFORD DAIGNAULT PHARM.D.

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
1	183500000X	Pharmacist	PS 42089	FL
2	1835P1200X	Pharmacotherapy Pharmacist	PS 42089	FL

General Provider Information

NPI Number	:	1881895043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRADFORD DAIGNAULT PHARM.D.

Provider Business Mailing Address
First Line	:	10369 LIGHTNER BRIDGE DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33626-1810
Country	:	US
Telephone Number	:	813-792-0918
Fax Number	:

Provider Business Practice Location Address
First Line	:	10369 LIGHTNER BRIDGE DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33626-1810
Country	:	US
Telephone Number	:	813-792-0918
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	09/11/2025

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