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Mr. Coenraad Jacobus Vandenberg
Pharmacist in Tacoma, Washington
NPI 1023371440

Coenraad Jacobus Vandenberg is a Pharmacist based in Tacoma, WA. Coenraad Jacobus Vandenberg practices in Tacoma, WA. The NPI Number for Coenraad Jacobus Vandenberg is 1023371440 and holds a License No. PH00050052 (Washington).

The current practice location address for Coenraad Jacobus Vandenberg is 104 Military Rd E, Tacoma, WA and can be reached out via phone at 253-538-2611 and via fax at 253-538-4918.

Location: 104 Military Rd E, Tacoma, WA, 98445-1243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023371440
Provider Name
Coenraad Jacobus Vandenberg
Credential
Provider Entity Type
Individual
Gender
Male
Address
104 Military Rd E, Tacoma, WA, 98445-1243
Phone Number
253-538-2611
Fax Number
253-538-4918
Provider Enumeration Date
06/20/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
104 Military Rd E
City
Tacoma
State
Washington
Zip
98445-1243
Phone Number
253-538-2611
Fax Number
253-538-4918
person
Provider Business Mailing Address Details
Address
104 Military Rd E
City
Tacoma
State
Washington
Zip
98445-1243
Phone Number
253-538-2611
Fax Number
253-538-4918
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
PH00050052 (Washington)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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