Provider Demographics
NPI:1104158682
Name:POLLARD, BRIAN SCOTT (PHARMD)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:SCOTT
Last Name:POLLARD
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 1:14505 NE FOURTH PLAIN BLVD
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98682-5003
Mailing Address - Country:US
Mailing Address - Phone:360-258-2653
Mailing Address - Fax:360-258-2652
Practice Address - Street 1:9000 NE HIGHWAY 99
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-8923
Practice Address - Country:US
Practice Address - Phone:360-571-2207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-08
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH0011351183500000X, 1835P0018X
TX54396183500000X
WAPH60020029183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist