Bradford, Wallace Earl
Bradford, Wallace Earl is an sole proprietor health care provider with primary practice located at 3420 Veterans Cir , Beaumont TX 77707-2552. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Bradford, Wallace Earl can be contacted via phone (409) 981-8570.Contact Information
Primary practice address
3420 Veterans Cir
Beaumont TX 77707-2552
Phone: (409) 981-8570
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 36667 | Texas |
Profile Details
| NPI number | 1376655969 |
|---|---|
| LBN Legal business name | Bradford, Wallace Earl |
| Credentials | PHARMACIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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