Canady, Scotty Bradford

Canady, Scotty Bradford is an individual health care provider with primary practice located at 1640 Us Highway 19 , Holiday FL 34691-5605. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Canady, Scotty Bradford can be contacted via phone (727) 938-3731.

Contact Information

Primary practice address
1640 Us Highway 19 Holiday FL 34691-5605
Phone: (727) 938-3731
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS39576 Florida
Pharmacy Service Providers / Pharmacist 183500000X 16960 North Carolina

Profile Details

NPI number 1306067780
LBN Legal business name Canady, Scotty Bradford
Credentials PHARMD, RPH
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1306067780 NPPES
North Carolina Other 16960 REGISTERED PHARMACIST
North Carolina Other PS39576 REGISTERED PHARMACIST

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