Individual
DR. MATTHEW BRODOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH.
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 412-7455
Mailing address
301 WASHINGTON ST APT 2407, CONSHOHOCKEN, PA 19428-4019
(609) 668-2809
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03543900
NJ
Other
Enumeration date
06/10/2014
Last updated
02/06/2019
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