Provider Demographics
NPI:1518600865
Name:BRAND, MADELINE YEN LE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MADELINE
Middle Name:YEN LE
Last Name:BRAND
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:MADELINE
Other - Middle Name:YEN
Other - Last Name:LE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:11325 SE MILL PLAIN BLVD
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684
Mailing Address - Country:US
Mailing Address - Phone:360-253-7086
Mailing Address - Fax:360-253-7083
Practice Address - Street 1:11325 SE MILL PLAIN BLVD
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684
Practice Address - Country:US
Practice Address - Phone:360-253-7086
Practice Address - Fax:360-253-7083
Is Sole Proprietor?:No
Enumeration Date:2022-04-14
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH611940361835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist