Individual
BRANT NIEDENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 251-5164
(425) 656-4085
Mailing address
8230 S 122ND ST, SEATTLE, WA 98178-4438
(206) 767-1054
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
46154
WA
Other
Enumeration date
04/14/2007
Last updated
07/08/2007
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