Individual
BRADLEY ROGGENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1717 S J ST # MS 01-79, TACOMA, WA 98405-4933
(253) 426-6405
Mailing address
1717 S J ST # MS 01-79, TACOMA, WA 98405-4933
(253) 426-6405
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60757911
WA
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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