Bradley Willis is a Pharmacist based in Kingsport, TN. Bradley Willis practices in Kingsport, TN. The NPI Number for Bradley Willis is 1558893412 and holds a License No. 40632 (Tennessee).
The current practice location address for Bradley Willis is 130 W Ravine Rd, Kingsport, TN and can be reached out via phone at 423-224-4000.
Location: 130 W Ravine Rd, Kingsport, TN, 37660-3837
Provider Profile Details
NPI Number
1558893412
Provider Name
Bradley Willis
Credential
Provider Entity Type
Individual
Gender
Male
Address
130 W Ravine Rd, Kingsport, TN, 37660-3837
Phone Number
423-224-4000
Fax Number
Provider Enumeration Date
03/30/2017
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
130 W Ravine Rd
City
State
Zip
37660-3837
Phone Number
423-224-4000
Fax Number
Provider Business Mailing Address Details
Address
130 W Ravine Rd
City
State
Zip
37660-3837
Phone Number
423-224-4000
Fax Number
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
40632 (Tennessee)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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