Provider Demographics
NPI:1619543360
Name:BRADLEY, JOSHUA FRANKLIN (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:FRANKLIN
Last Name:BRADLEY
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 1:5 ALLENDALE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-3602
Mailing Address - Country:US
Mailing Address - Phone:413-441-1762
Mailing Address - Fax:
Practice Address - Street 1:37 CHESHIRE RD
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-1814
Practice Address - Country:US
Practice Address - Phone:413-441-1762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH240104183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist