Individual
DR. JASON EUGENE BROUILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-4569
Mailing address
1214 S ARTHUR ST, SPOKANE, WA 99202-2550
(509) 869-9496
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00060475
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH00060475
PHARMACIST CREDENTIAL #
WA
Enumeration date
10/12/2005
Last updated
05/10/2016
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