Provider Demographics
NPI:1235329186
Name:LAMBERTON, BRADLEY TERRY (RPH)
Entity Type:Individual
Prefix:MR
First Name:BRADLEY
Middle Name:TERRY
Last Name:LAMBERTON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 PILGRIM DR
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:MA
Mailing Address - Zip Code:01520-1926
Mailing Address - Country:US
Mailing Address - Phone:508-853-1449
Mailing Address - Fax:
Practice Address - Street 1:50 BOSTON TPKE
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-3540
Practice Address - Country:US
Practice Address - Phone:508-363-0057
Practice Address - Fax:508-363-1834
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA25124183500000X
VT0330003576183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist