Brouillard, Jason Eugene

Brouillard, Jason Eugene is an individual health care provider with primary practice located at 101 W 8Th Ave , Spokane WA 99204-2307. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Brouillard, Jason Eugene can be contacted via phone (509) 474-4569.

Contact Information

Primary practice address
101 W 8Th Ave Spokane WA 99204-2307
Phone: (509) 474-4569
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PH00060475 Washington

Profile Details

NPI number 1447248406
LBN Legal business name Brouillard, Jason Eugene
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated May 10th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447248406 NPPES
Washington Other PH00060475 PHARMACIST CREDENTIAL #

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