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Dylan Broadwater
Pharmacist in Fairchild Afb, Washington
NPI 1568016103

Dylan Broadwater is a Pharmacist based in Mountain Home Afb, WA. Dylan Broadwater practices in Fairchild Afb, WA. The NPI Number for Dylan Broadwater is 1568016103 and holds a License No. PHA.0022534 (Washington).

The current practice location address for Dylan Broadwater is 701 Hospital Loop, Fairchild Afb, WA and can be reached out via phone at 509-247-3355.

Location: 701 Hospital Loop, Fairchild Afb, WA, 83648-5101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568016103
Provider Name
Dylan Broadwater
Credential
Provider Entity Type
Individual
Gender
Male
Address
701 Hospital Loop, Fairchild Afb, WA, 83648-5101
Phone Number
509-247-3355
Fax Number
Provider Enumeration Date
07/31/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
701 Hospital Loop
City
Fairchild Afb
State
Washington
Zip
99011-8704
Phone Number
509-247-3355
Fax Number
person
Provider Business Mailing Address Details
Address
701 Hospital Loop
City
Fairchild Afb
State
Washington
Zip
99011-8704
Phone Number
509-247-3355
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
PHA.0022534 (Colorado)
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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