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Alphonsus M Brady — NPI 1912374505, Bloomington, IL | NPI Central

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NPI 1912374505

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Alphonsus M Brady

NPI 1912374505 · Pharmacist · Bloomington, IL

Provider details

NPI number: 1912374505
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Sex: Male
Sole proprietor: Yes
License: 051296175 (IL)

Practice location

2510 E Washington St

Apt #13

Bloomington, IL 61704-4447

Phone: (309) 660-4210

More IL providers

Mailing address

2510 East Washington St

Bloomington, IL 61704

Registry dates

Enumerated: 2015-08-31
Last updated: 2015-08-31

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.