Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DYLAN BROADWATER
ActiveDYLAN BROADWATER is a Pharmacist healthcare provider located in FAIRCHILD AFB, Washington. NPI 1568016103 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · FAIRCHILD AFB, WA
Registration Details
- NPI Number
- 1568016103
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2019 (7.0147060516324 yrs)
- Last Updated
- Jun 30, 2023
- License
-
PHA.0022534 (CO)
Practice Information
- Address
-
701 HOSPITAL LOOPFAIRCHILD AFB, WA, 990118704Browse WA providers · Browse ZIP 99011
- Phone
- 5092473355
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in FAIRCHILD AFB, WA
| Name | Credential | NPI |
|---|---|---|
| MR. RAYMOND HENRY RESER JR. | RPH | 1801889241 |
| DR. JOHN F CARGIOLI | — | 1174516611 |
| KATIE BETH AUSTIN | PHARMD | 1336265545 |
| JASON BARKEMEYER | PHARMD | 1669801320 |
| MONTANA RENEE RICKEY | PHARM. D | 1194350033 |
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.