Individual
MR. CHARLES DAVID BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
10405 N LA CANADA DR, ORO VALLEY, AZ 85737-6945
(520) 297-5934
Mailing address
1953 W DESERT HIGHLANDS DR, ORO VALLEY, AZ 85737-7037
(206) 409-3730
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH 00010245
WA
183500000X
Pharmacist
Primary
S015293
AZ
Other
Enumeration date
02/08/2010
Last updated
08/19/2010
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