Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH WALTER BROOKSHIRE
Active Sole ProprietorKENNETH WALTER BROOKSHIRE is a Pharmacist healthcare provider located in COVE, Oregon. NPI 1265186795 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · COVE, OR
Registration Details
- NPI Number
- 1265186795
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 3, 2022 (4.5227597949446 yrs)
- Last Updated
- Feb 3, 2022
- License
-
7150 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
707 ROSE STCOVE, OR, 97824Browse OR providers · Browse ZIP 97824
- Phone
- 5418058689
- Primary Specialty
-
Pharmacist
183500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.