Provider Demographics
NPI:1376622134
Name:MEASELLS, BRAD (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRAD
Middle Name:
Last Name:MEASELLS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2851 SAINVILLE RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37355-6338
Mailing Address - Country:US
Mailing Address - Phone:931-723-3228
Mailing Address - Fax:
Practice Address - Street 1:806 MCARTHUR ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37355-2324
Practice Address - Country:US
Practice Address - Phone:931-278-0874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11214183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist