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Individual

MARK BROCKWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD, BCPS, BCCCP

Contact information

Practice address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 899-2781
Mailing address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 899-2781

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH00046796
WA

Other

Enumeration date
10/21/2008
Last updated
02/18/2024
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