MEDICARE: MR. BRAD SCOTT PRUITT R.PH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PH00015382	WA

General Provider Information

NPI Number	:	1255797171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRAD SCOTT PRUITT R.PH

Provider Business Mailing Address
First Line	:	4305 LAKE WASHINGTON BLVD NE
Second Line	:	2108
City	:	KIRKLAND
State	:	WA
Zip	:	98033-7883
Country	:	US
Telephone Number	:	415-571-4724
Fax Number	:

Provider Business Practice Location Address
First Line	:	4305 LAKE WASHINGTON BLVD NE
Second Line	:	2108
City	:	KIRKLAND
State	:	WA
Zip	:	98033-7883
Country	:	US
Telephone Number	:	415-571-4724
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2016
Last Update Date	:	01/07/2016

Similar Medicare Providers

1023315736 — MRS. LYNN RENEE BROOKS LMP
Practice Location Address:

4305 LAKE WASHINGTON BLVD NE , 2311
KIRKLAND, WA
98033-7883

Practice Phone: 360-298-4695
Practice Fax:

1619826575 — ANGELIQUE GUINA COUNSELING PLLC
Practice Location Address:

10715 NE 37TH CT APT 147
KIRKLAND, WA
98033-1703

Practice Phone: 360-632-5568
Practice Fax:

1972381747 — ANGELIQUE GUINA
Practice Location Address:

10715 NE 37TH CT APT 147
KIRKLAND, WA
98033-1703

Practice Phone: 360-632-5568
Practice Fax:

1053184861 — PREMISE HEALTH OF WASHINGTON MEDICAL, PC
Practice Location Address:

747 6TH ST S
KIRKLAND, WA
98033-6715

Practice Phone: 425-400-3245
Practice Fax: 425-952-1801

1558211607 — ARTEM KHODZHIEV
Practice Location Address:

1003 7TH AVE STE A
KIRKLAND, WA
98033-5779

Practice Phone: 425-658-3016
Practice Fax:

1740139922 — JOALYCE HARRIS
Practice Location Address:

CBPI, LLC 1003 7TH AVE STE A
KIRKLAND, WA
98033

Practice Phone: 425-658-3016
Practice Fax:

Directions to “ MR. BRAD SCOTT PRUITT R.PH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.