Provider Demographics
NPI:1053907238
Name:LENDE, BRADLY (PHARMD)
Entity type:Individual
Prefix:
First Name:BRADLY
Middle Name:
Last Name:LENDE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8352 W WARM SPRINGS RD STE 330
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-3631
Mailing Address - Country:US
Mailing Address - Phone:702-410-5620
Mailing Address - Fax:702-444-4021
Practice Address - Street 1:8352 W WARM SPRINGS RD STE 330
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-3631
Practice Address - Country:US
Practice Address - Phone:702-410-5620
Practice Address - Fax:702-444-4021
Is Sole Proprietor?:No
Enumeration Date:2020-12-11
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV20664183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist