Brad Ishee
Pharmacist in Madison, MS. Individual provider (NPI-1).
NPI number1982208674
StatusActive
Last updated in NPPESNov 24, 2020
Details
- NPI
- 1982208674
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brad Ishee
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 24, 2020
- Certification date
- Nov 24, 2020
- Last updated
- Nov 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | E-08672 | MS | Yes |
Practice location
191 Reunion BlvdMadison, MS 39110-8095
Phone 601-906-5557
Mailing address
191 Reunion BlvdMadison, MS 39110-8095
Phone 601-906-5557
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