Healthcare Provider Details

I. General information

NPI: 1376457374
Provider Name (Legal Business Name): CLARE BREWSTER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SHIRCLIFF WAY
JACKSONVILLE FL
32204-4748
US

IV. Provider business mailing address

10887 CORAL SHORES DR UNIT 210
JACKSONVILLE FL
32256-2120
US

V. Phone/Fax

Practice location:
  • Phone: 904-308-8365
  • Fax:
Mailing address:
  • Phone: 205-981-4557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS67382
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: