Individual
MR. BRIAN BROUILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2500 N HARRISON ST, ARLINGTON, VA 22207-1600
(703) 538-6911
Mailing address
2500 N HARRISON ST, ARLINGTON, VA 22207-1600
(703) 538-6911
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202211203
VA
Other
Enumeration date
04/07/2012
Last updated
04/07/2012
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