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Kyle V Brotherton, PHARM. D.

Pharmacist in Clio, MI. Individual provider (NPI-1).

NPI number1669966263
StatusActive
Last updated in NPPESMay 27, 2021

Details

NPI
1669966263
Entity type
Individual (NPI-1)
Name
Kyle V Brotherton
Credential
PHARM. D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 18, 2018
Certification date
May 27, 2021
Last updated
May 27, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist5302038806MIYes

Practice location

415 W Vienna St
Clio, MI 48420-1307

Phone 181-054-7127 · Fax 810-547-1542

Mailing address

415 W Vienna St
Clio, MI 48420-1307

Phone 181-054-7127 · Fax 810-547-1542

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