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Bradley Neukirch, RPH
NPI 1972941433 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1321 Sandy Hollow Rd
Rockford, IL 61109 - Phone
- (815) 226-9578
- Fax
- (815) 226-0228
- Organisation at this address
- Modern Dental Of Rockford Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-06-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois