Individual
BRENT CONRAD BECKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4077 FIFTH AVE, SAN DIEGO, CA 92103-2105
(907) 957-1615
Mailing address
10061 RIO SAN DIEGO DR APT 289, SAN DIEGO, CA 92108-5679
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
Primary
81567
CA
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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