Provider Demographics
NPI:1750988846
Name:BRADEN, MARGARET (RPH)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:
Last Name:BRADEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:561 SR-69
Mailing Address - Street 2:
Mailing Address - City:HANCEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35077
Mailing Address - Country:US
Mailing Address - Phone:256-287-3333
Mailing Address - Fax:
Practice Address - Street 1:561 SR-69
Practice Address - Street 2:
Practice Address - City:HANCEVILLE
Practice Address - State:AL
Practice Address - Zip Code:35077
Practice Address - Country:US
Practice Address - Phone:256-287-3333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16352183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist