Individual provider · Type 1 NPI

Sasha Kate Bradle, PharmD

Pharmacist · Rockford, IL

NPI number 1063794352 Active

Practice location

5690 East State Street
Rockford, IL 61108

Mailing address

4512 Tanglewood Drive
Janesville, WI 53546

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051294282 (IL)
Pharmacist 183500000X16480040 (WI)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1063794352

Sasha Kate Bradle, PharmD's National Provider Identifier is 1063794352, issued on Sep 13, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Rockford, IL. The record was last updated on Sep 13, 2011.