NPI 1003323684

Bradley Roggenbach, PHARMD

Practitioner Pharmacist Tacoma, WA

Practice location

Address: 1717 S J St # Ms 01-79, Tacoma, WA 98405-4933
Phone: (253) 426-6405

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PH60757911 (WA)

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Registry record

NPI: 1003323684
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jan 2018
Record last updated: 4 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.