Provider Demographics
NPI:1770631947
Name:VOIGHT, BRANDY DEANNE (DPH)
Entity Type:Individual
Prefix:DR
First Name:BRANDY
Middle Name:DEANNE
Last Name:VOIGHT
Suffix:
Gender:F
Credentials:DPH
Other - Prefix:
Other - First Name:BRANDY
Other - Middle Name:DEANNE
Other - Last Name:ELMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:819 OVERBLUFF LN
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98901-4307
Mailing Address - Country:US
Mailing Address - Phone:509-833-0300
Mailing Address - Fax:509-454-6164
Practice Address - Street 1:110 S 9TH AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3315
Practice Address - Country:US
Practice Address - Phone:509-454-6140
Practice Address - Fax:509-454-6164
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-06
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH0040113183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist