Individual
BRYAN BART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4025 DELRIDGE WAY SW, SUITE 400, SEATTLE, WA 98106-1249
(877) 227-8355
Mailing address
22435 SE 240TH ST, #F302, MAPLE VALLEY, WA 98038-5848
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60582494
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH60582494
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
01/28/2016
Last updated
01/28/2016
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