MR. Coenraad Jacobus Vandenberg

NPI #1023371440 in Tacoma, Washington

Provider Information

NPI Number: 1023371440
Entity Type: Individual
Name: MR. Coenraad Jacobus Vandenberg
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jun 20, 2012
Last Updated: Jun 20, 2012

Practice Location

Address: 104 MILITARY RD E
City: Tacoma
State: Washington
ZIP Code: 98445-1243
Phone: (253) 538-2611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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