| NPI | 1497233936 |
|---|---|
| Other Name | JOSH BROCKBANK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: UT 7458368-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 7458368-1701) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2022-08-19 |