DYLAN BROADWATER

Pharmacist

Active Individual
NPI: 1568016103

Practice Address

701 HOSPITAL LOOP
Fairchild Afb, WA 99011

Phone: (509) 247-3355

Specialties

Specialty Code Primary License
Pharmacist 183500000X Yes PHA.0022534 (CO)

Frequently Asked Questions

NPI 1568016103 is the National Provider Identifier for DYLAN BROADWATER, a Pharmacist provider located in Fairchild Afb, WA. This NPI was enumerated on July 31, 2019.
DYLAN BROADWATER practices at 701 HOSPITAL LOOP, Fairchild Afb, WA 99011.

Quick Facts

NPI
1568016103
Type
Individual
Enumerated
Jul 31, 2019
Last Updated
Jun 30, 2023

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