Healthcare Provider Details

I. General information

NPI: 1225890296
Provider Name (Legal Business Name): KATHERINE JANE BREWER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2024
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

156 CHINABERRY LN
MAYLENE AL
35114-5847
US

IV. Provider business mailing address

156 CHINABERRY LN
MAYLENE AL
35114-5847
US

V. Phone/Fax

Practice location:
  • Phone: 205-529-2885
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number24703
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: