BRANDI BROADDUS

TRINIDAD, CO
NPI1407101470
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CO  19454)
Enumeration Date2012-07-17
Last Update Date2023-10-09
Business Address
BRANDI BROADDUS
457 W MAIN ST
TRINIDAD, CO 81082-2623
Phone number: 719-846-3086
Mailing Address
BRANDI BROADDUS
23500 US HIGHWAY 160 STE A
WALSENBURG, CO 81089-9524
Phone number: 719-738-4500