Individual
BRANDON W TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9218 151ST STREET CT E, PUYALLUP, WA 98375-6997
(253) 579-3528
Mailing address
9218 151ST STREET CT E, PUYALLUP, WA 98375-6997
(253) 579-3528
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61189355
WA
390200000X
Student in an Organized Health Care Education/Training Program
0000000
WA
Other
Enumeration date
05/13/2021
Last updated
06/05/2023
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