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MR. KEVIN BROOKS RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1639188774

Individual Registrant:
MR. KEVIN  BROOKS RPH
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

Contact information for business:
PO BOX 860  WHITERIVER, AZ 85941-0860 US
Tel: 928-338-3501  Fax: 928-338-3510

Registration Information:
NPI: 1639188774
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
TX36994
N1835P1200XPharmacy Service Providers
Pharmacist
TX36994

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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