Individual provider · Type 1 NPI

Dylan Broadwater

Pharmacist · Fairchild Afb, WA

NPI number 1568016103 Active

Practice location

701 Hospital Loop
Fairchild Afb, WA 99011-8704

Call (509) 247-3355 Map

Mailing address

8433A Bear Loop
Mountain Home Afb, ID 83648-5101

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPHA.0022534 (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 1568016103

Dylan Broadwater's National Provider Identifier is 1568016103, issued on Jul 31, 2019. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fairchild Afb, WA. The record was last updated on Jun 30, 2023.