Broderick, Charles David

Broderick, Charles David is an individual health care provider with primary practice located at 10405 N La Canada Dr , Oro Valley AZ 85737-6945. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Broderick, Charles David can be contacted via phone (520) 297-5934.

Contact Information

Primary practice address
10405 N La Canada Dr Oro Valley AZ 85737-6945
Phone: (520) 297-5934
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PH 00010245 Washington
Pharmacy Service Providers / Pharmacist 183500000X S015293 Arizona

Profile Details

NPI number 1992037568
LBN Legal business name Broderick, Charles David
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2010
Last updated Aug 19th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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