Provider Demographics
NPI:1154497287
Name:HOTCHKISS, BRUCE LARKIN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:LARKIN
Last Name:HOTCHKISS
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 1:23610 E BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019-9641
Mailing Address - Country:US
Mailing Address - Phone:509-892-5796
Mailing Address - Fax:
Practice Address - Street 1:23610 E BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:LIBERTY LAKE
Practice Address - State:WA
Practice Address - Zip Code:99019-9641
Practice Address - Country:US
Practice Address - Phone:509-892-5796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy