Individual
KYLE V BROTHERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
415 W VIENNA ST, CLIO, MI 48420-1307
(181) 054-7127
(810) 547-1542
Mailing address
415 W VIENNA ST, CLIO, MI 48420-1307
(181) 054-7127
(810) 547-1542
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038806
MI
Other
Enumeration date
06/18/2018
Last updated
05/27/2021
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