Ami Bradwell

Individual provider Active NPI Pharmacy Technician · Urbandale, IA

NPI 1801286406 · NPPES record last updated Feb 3, 2015

Key facts

NPI
1801286406
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
16951 (IA)
Practice address
11148 Plum Dr
Urbandale, IA 50322-6328
Phone
(515) 270-6884
Fax
(515) 802-3350
NPI assigned
Feb 3, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
16951IAMDPharmacy Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 16951 IA Yes

Addresses

Primary practice location

11148 Plum Dr
Urbandale, IA 50322-6328

Mailing address

11148 Plum Dr
Urbandale, IA 50322-6328
Phone (515) 270-6884

Other providers in Urbandale, IA

All providers in Urbandale, IA · Pharmacy Technician in Iowa

Sources for this page

Verify at the official NPI Registry.