Healthcare Provider Details

I. General information

NPI: 1518880962
Provider Name (Legal Business Name): BROOKE DEANNA BERNU PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 E 2ND ST
DULUTH MN
55805-1906
US

IV. Provider business mailing address

402 E 2ND ST
DULUTH MN
55805-1906
US

V. Phone/Fax

Practice location:
  • Phone: 218-786-1357
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number124275
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: