Healthcare Provider Details

I. General information

NPI: 1154497287
Provider Name (Legal Business Name): BRUCE LARKIN HOTCHKISS PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23610 E BROADWAY AVE
LIBERTY LAKE WA
99019-9641
US

IV. Provider business mailing address

23610 E BROADWAY AVE
LIBERTY LAKE WA
99019-9641
US

V. Phone/Fax

Practice location:
  • Phone: 509-892-5796
  • Fax:
Mailing address:
  • Phone: 509-892-5796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number1
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: