Bradley, Mary D

Bradley, Mary D is an individual health care provider with primary practice located at 3471 W Century Blvd , Inglewood CA 90303-1218. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Bradley, Mary D can be contacted via phone (310) 677-5937.

Contact Information

Primary practice address
3471 W Century Blvd Inglewood CA 90303-1218
Phone: (310) 677-5937
Fax: (310) 677-5937
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 57492 California

Profile Details

NPI number 1477846434
LBN Legal business name Bradley, Mary D
Credentials PHARM.D
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2011
Last updated May 24th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477846434 NPPES
California MEDICAID 410215170

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