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General NPI Number Information
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NPI Number | 1164147880
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Entity Type | Organization
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Legal Business Name | BROSSART INC
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Dates
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Enumeration Date | 10/05/2022
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Last Update Date | 10/05/2022
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Provider Practice Location Address
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Address Line | 45 S MIAMI AVE
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City | CLEVES
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State | OH
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Zip | 45002-1284
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Country | US
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Telephone | 513-941-0428
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Fax |
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Provider Business Mailing Address
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Address Line | 45 S MIAMI AVE
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City | CLEVES
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State | OH
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Zip | 45002-1284
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Country | US
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Telephone | 513-941-0428
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN JOSEPH BROSSART
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Credential |
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Telephone | 513-941-8390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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