Individual
DR. HARLEY JOHN BROTHERTON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
310 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 752-1761
Mailing address
145 BUFFALO STAGE, KALISPELL, MT 59901-2780
(406) 257-3258
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
16649
NV
183500000X
Pharmacist
41135
WA
183500000X
Pharmacist
Primary
5888
MT
Other
Enumeration date
09/20/2005
Last updated
03/02/2008
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