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MR. KEVIN BROOKS RPH
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1639188774
Individual Registrant:MR. KEVIN BROOKS RPH
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
200 W HOSPITAL DRIVE WHITERIVER, AZ 85941-0860 US
Tel: 928-338-3501 Fax: 928-338-3510
Tel: 928-338-3501 Fax: 928-338-3510
Contact information for business:
PO BOX 860 WHITERIVER, AZ 85941-0860 US
Tel: 928-338-3501 Fax: 928-338-3510
Tel: 928-338-3501 Fax: 928-338-3510
Registration Information:
NPI: 1639188774
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | TX | 36994 |
| N | 1835P1200X | Pharmacy Service Providers Pharmacist | TX | 36994 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
