Individual
CRAIG BROOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23102 E APPLEWAY AVE, LIBERTY LAKE, WA 99019-9585
(509) 928-8738
Mailing address
23102 E APPLEWAY AVE, LIBERTY LAKE, WA 99019-9585
(509) 928-8738
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 00042759
WA
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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