Provider Demographics
NPI:1922174945
Name:ALBERTSON, BRENT ALLEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRENT
Middle Name:ALLEN
Last Name:ALBERTSON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3224 E 43RD AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-7715
Mailing Address - Country:US
Mailing Address - Phone:509-474-2213
Mailing Address - Fax:509-474-4468
Practice Address - Street 1:101 W 8TH AVE
Practice Address - Street 2:BOX 2555
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2307
Practice Address - Country:US
Practice Address - Phone:509-474-2213
Practice Address - Fax:509-474-4468
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH537871835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy