Provider Demographics
NPI:1447823125
Name:WARR, BRADY ALAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRADY
Middle Name:ALAN
Last Name:WARR
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 1:933 E MISSION AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1908
Mailing Address - Country:US
Mailing Address - Phone:509-482-2089
Mailing Address - Fax:
Practice Address - Street 1:933 E MISSION AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1908
Practice Address - Country:US
Practice Address - Phone:509-482-2089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-21
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP9476183500000X
WAPH61168636183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist