Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Wallace Earl Bradford, PHARMACIST

Individual provider Pharmacist · NPI 1376655969

Mr. Wallace Earl Bradford, PHARMACIST is a Pharmacist in Beaumont, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2006
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Practice location Address checks out

3420 Veterans Cir
Beaumont, TX 77707-2552
Phone: (409) 981-8570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 36667 (TX)

Record details

NPI number1376655969
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMACIST
Sole proprietorYes
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 8, 2007

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