Healthcare Provider Details

I. General information

NPI: 1619067683
Provider Name (Legal Business Name): BROWER DRUG CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 W 4TH ST SUITE III
ST ANSGAR IA
50472
US

IV. Provider business mailing address

PO BOX 309 140 W 4TH ST SUITE III
ST ANSGAR IA
50472
US

V. Phone/Fax

Practice location:
  • Phone: 641-713-4381
  • Fax: 641-713-2386
Mailing address:
  • Phone: 641-713-4381
  • Fax: 641-713-2386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number177
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number13613
License Number StateIA

VIII. Authorized Official

Name: MR. LESLIE FRANK BROWER
Title or Position: RPH OWNER
Credential: RPH
Phone: 641-713-4381