Most Relevant Information
Provider Data
| NPI Number: | 1003323684 |
| Provider Name: | BRADLEY ROGGENBACH PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PH60757911 |
Most Important Dates
| Enumeration Date: | 01/04/2018 |
| Last Updated: | 01/04/2018 |
Provider Practice Location
1717 S J ST # MS 01-79
TACOMA
WA
984054933
Practice Location Phone/Fax
| Phone: | 2534266405 |
| Fax: |
Provider Mailing Location
1717 S J ST # MS 01-79
TACOMA
WA
984054933
Provider Mailing Phone/Fax
| Phone: | 2534266405 |
| Fax: |