Individual
BRADD M WAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 COCHRANE CIR BLDG 7500, COLORADO SPRINGS, CO 80913-4613
(719) 524-4400
Mailing address
1650 COCHRANE CIR BLDG 7500, COLORADO SPRINGS, CO 80913-4613
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60742
CA
Other
Enumeration date
05/28/2009
Last updated
05/22/2013
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