IndividualActive
Jessica Bradshaw, PHARMD
NPI 1407339260 · Pharmacist · Ephraim, UT
Provider details
- NPI number
- 1407339260
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- P7243 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
777 N Main St
Ephraim, UT 84627-1165
Phone: (435) 283-8194
Fax: (435) 283-8205
Approximate (ZIP-level) locationGet directions
Mailing address
254 S 100 E
Ephraim, UT 84627-1303
Registry dates
- Enumerated
- 2018-09-07
- Last updated
- 2024-02-23
- Certified
- 2024-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.