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

Mr. Coenraad Jacobus Vandenberg

Individual provider Pharmacist · NPI 1023371440

Mr. Coenraad Jacobus Vandenberg is a Pharmacist in Tacoma, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2012
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Practice location Address checks out

104 Military Rd E
Tacoma, WA 98445-1243
Phone: (253) 538-2611
Fax: (253) 538-4918
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PH00050052 (WA)

Record details

NPI number1023371440
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 20, 2012
Last updated in NPPESJune 20, 2012

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