Individual
BRIAN BOTTEMILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
39050 HIGHWAY 299, WILLOW CREEK, CA 95573-0067
(530) 629-3144
(530) 629-4303
Mailing address
PO BOX 67, WILLOW CREEK, CA 95573-0067
(530) 629-3144
(530) 629-4303
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
37624
CA
183500000X
Pharmacist
RPH37624
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
37624
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH37624
STATE LIC.
CA
Enumeration date
08/16/2006
Last updated
10/25/2016
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