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1285047001
MATTHEW BRODOCK
FORT CAMPBELL, KY
NPI
1285047001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NJ 28RI03543900)
Enumeration Date
2014-06-10
Last Update Date
2019-02-06
Business Address
Dr. MATTHEW BRODOCK PharmD, RPh.
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-412-7455
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Mailing Address
Dr. MATTHEW BRODOCK PharmD, RPh.
301 WASHINGTON ST APT 2407
CONSHOHOCKEN, PA 19428-4019
Phone number: 609-668-2809
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