Individual
JACKIE DEE BROGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
611 E DOUGLAS RD STE 412, MISHAWAKA, IN 46545-1468
(574) 335-6514
(574) 335-0772
Mailing address
722 9TH AVE W, HENDERSONVILLE, NC 28791-3418
(828) 216-6040
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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