Individual
DR. SCOTT DANIEL VANBROCKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
1719 WASHINGTON ST W, CHARLESTON, WV 25312-2319
(304) 344-2565
(304) 344-3514
Mailing address
1719 WASHINGTON ST W, CHARLESTON, WV 25312-2319
(304) 344-2565
(304) 344-3514
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0004453
WV
Other
Enumeration date
03/27/2011
Last updated
03/27/2011
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