Individual
BRAYTON ZIPSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1203 IDAHO ST, LEWISTON, ID 83501-1940
(509) 444-8200
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
60473037
WA
183500000X
Pharmacist
Primary
P9968
ID
Other
Enumeration date
10/02/2015
Last updated
05/19/2022
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