Provider Demographics
NPI:1326322116
Name:DEAL, BRADLEY MICHAEL (DOCTOR OF PHARMACY)
Entity Type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:MICHAEL
Last Name:DEAL
Suffix:
Gender:M
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:520 BLUFF CITY HWY
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-4606
Mailing Address - Country:US
Mailing Address - Phone:423-968-2895
Mailing Address - Fax:423-968-5986
Practice Address - Street 1:520 BLUFF CITY HWY
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-4606
Practice Address - Country:US
Practice Address - Phone:423-968-2895
Practice Address - Fax:423-968-5986
Is Sole Proprietor?:No
Enumeration Date:2011-09-28
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000033794183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist