Individual
MR. BRAD SCOTT PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
4305 LAKE WASHINGTON BLVD NE, 2108, KIRKLAND, WA 98033-7883
(415) 571-4724
Mailing address
4305 LAKE WASHINGTON BLVD NE, 2108, KIRKLAND, WA 98033-7883
(415) 571-4724
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00015382
WA
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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