Individual
BRADLEY LANE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
800 W 5TH AVE, SPOKANE, WA 99204-2803
(509) 458-5800
Mailing address
1004 S SAINT CHARLES RD, SPOKANE VALLEY, WA 99037-8834
(509) 928-2132
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00010663
WA
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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