Broadrick, Bruce L

Broadrick, Bruce L is an individual health care provider with primary practice located at 706 S Thornton Ave Ste 3 , Dalton GA 30720-8212. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Broadrick, Bruce L can be contacted via phone (706) 250-0233.

Contact Information

Primary practice address
706 S Thornton Ave Ste 3 Dalton GA 30720-8212
Phone: (706) 250-0233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC011947 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X 4163 Tennessee
Pharmacy Service Providers / Pharmacist 183500000X RPH022581 Georgia

Profile Details

NPI number 1841259710
LBN Legal business name Broadrick, Bruce L
Credentials PHARMD., LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Sep 21st, 2021 - about 4 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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