IndividualActive
Allyssa Bradford, PHARMD
NPI 1508466525 · Pharmacist · South Charleston, WV
Provider details
- NPI number
- 1508466525
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- RP0011960 (WV)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2700 Mountaineer Blvd
South Charleston, WV 25309-9442
Phone: (304) 746-1725
Approximate (ZIP-level) locationGet directions
Mailing address
735 Oakwood Rd Apt 5
Charleston, WV 25314-1761
Registry dates
- Enumerated
- 2020-10-28
- Last updated
- 2020-10-28
- Certified
- 2020-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.