Dylan Broadwater

NPI #1568016103 in Fairchild Afb, Washington

Provider Information

NPI Number: 1568016103
Entity Type: Individual
Name: Dylan Broadwater
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jul 31, 2019
Last Updated: Jun 30, 2023

Practice Location

Address: 701 HOSPITAL LOOP
City: Fairchild Afb
State: Washington
ZIP Code: 99011-8704
Phone: (509) 247-3355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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