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Individual

DEBORAH K BROKAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D., BCACP

Contact information

Practice address
14366 SOMMERVILLE CT, MIDLOTHIAN, VA 23113-6838
(804) 212-7558
Mailing address
14366 SOMMERVILLE CT, MIDLOTHIAN, VA 23113-6838
(804) 212-7558

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0202012138
VA

Other

Enumeration date
08/19/2014
Last updated
08/19/2014
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