Bradley Ellis Valid NPI
Individual provider · Pharmacist · Bay Pines, FL
- NPI
- 1356012108
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- P9679 (ID)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2021-09-22
- Last updated
- 2021-09-22
Practice location
10000 Bay Pines Blvd
Bay Pines, FL 33744-8200
(727) 398-6661