Individual
BRAD DETTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
9520 N NEWPORT HWY, SPOKANE, WA 99218-1219
(509) 466-7414
(509) 466-0546
Mailing address
9520 N NEWPORT HWY, SPOKANE, WA 99218-1219
(509) 466-7414
(509) 466-0546
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00015867
WA
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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