Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dylan Broadwater

Individual provider Pharmacist · NPI 1568016103

Dylan Broadwater is a Pharmacist in Fairchild AFB, Washington. Licensed in Colorado. Registered with an NPI since 2019.

Licensed in
CO
In the registry since
2019

Practice location Address checks out

701 Hospital Loop
Fairchild AFB, WA 99011-8704
Phone: (509) 247-3355
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PHA.0022534 (CO)

Record details

NPI number1568016103
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 31, 2019
Last updated in NPPESJune 30, 2023
Certification dateJune 30, 2023
Mailing address8433a Bear Loop, Mountain Home Afb, ID 83648-5101

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