Individual provider · Type 1 NPI

Brandi Broaddus

Pharmacist · Trinidad, CO

NPI number 1407101470 Active

Practice location

457 W Main St
Trinidad, CO 81082-2623

Mailing address

23500 US Highway 160 Ste A
Walsenburg, CO 81089-9524

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X19454 (CO)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1407101470

Brandi Broaddus's National Provider Identifier is 1407101470, issued on Jul 17, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Trinidad, CO. The record was last updated on Oct 9, 2023.