Mr Bradley Wayne Dedmon, PD is a
Pharmacist based in Spiro, Oklahoma. Mr Bradley Wayne Dedmon is licensed to practice in Oklahoma (license number 12538) and his current practice location is
213 W Broadway St, Spiro, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(918) 962-2131.
NPI number for Mr Bradley Wayne Dedmon is 1497881098 and his current mailing address is 213 W Broadway St, Spiro, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497881098.
Healthcare Provider's Profile
| Full Name | Mr Bradley Wayne Dedmon |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 213 W Broadway St, Spiro, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497881098
- Provider Enumeration Date: 02/26/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Bradley Wayne Dedmon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497881098 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 12538 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Bradley Wayne Dedmon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Bradley Wayne Dedmon, PD
213 W Broadway St,
Spiro, OK 74959-2419
Ph: (918) 962-2131 | Mr Bradley Wayne Dedmon, PD
213 W Broadway St,
Spiro, OK 74959-2419
Ph: (918) 962-2131 |
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