IndividualActive
Bradley Polovich, PHARMD
NPI 1609476076 · Pharmacist · Kirksville, MO
Bradley Polovich, PHARMD is a Pharmacist provider in Kirksville, MO (NPI 1609476076).
Provider details
- NPI number
- 1609476076
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 043723 (MO)
Practice location
2206 N Baltimore St
Kirksville, MO 63501-1906
Phone: (660) 627-1297
Fax: (660) 627-4345
Street-level locationGet directions
Mailing address
20828 Oak View Trl
Kirksville, MO 63501-7079
Registry dates
- Enumerated
- 2020-10-27
- Last updated
- 2020-10-27
- Certified
- 2020-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.