Provider Demographics
NPI:1952837445
Name:MOLATO, BRENNA LINDSEY SWECKER (PHARMD)
Entity Type:Individual
Prefix:
First Name:BRENNA
Middle Name:LINDSEY SWECKER
Last Name:MOLATO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:BRENNA
Other - Middle Name:
Other - Last Name:LINDSEY-SWECKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1946 4TH AVE E
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-4632
Mailing Address - Country:US
Mailing Address - Phone:360-352-3333
Mailing Address - Fax:360-943-5526
Practice Address - Street 1:1946 4TH AVE E
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-4632
Practice Address - Country:US
Practice Address - Phone:360-352-3333
Practice Address - Fax:360-943-5526
Is Sole Proprietor?:No
Enumeration Date:2017-05-03
Last Update Date:2021-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA78452183500000X
WAPH60668211183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist