Individual
AMANDA DIANE BROOKHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1322 3RD ST SE, PUYALLUP, WA 98372-3771
(303) 548-5795
Mailing address
17838 75TH AVE E, PUYALLUP, WA 98375-3304
(303) 548-5795
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61068927
WA
Other
Enumeration date
04/15/2021
Last updated
10/04/2021
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