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NPI 1437761848

NPI 1437761848 : BREHME DRUG INC : MANCHESTER, IA

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General NPI Number Information
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    NPI Number           |    1437761848
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    Entity Type          |    Organization 
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    Legal Business Name  |    BREHME DRUG INC 
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Dates
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    Enumeration Date     |    08/18/2020
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    Last Update Date     |    08/18/2020
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Provider Practice Location Address
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    Address Line         |    220 E MAIN ST 
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    City                 |    MANCHESTER
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    State                |    IA
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    Zip                  |    52057-1733
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    Country              |    US
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    Telephone            |    563-927-3509
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    Fax                  |    563-927-8849
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Provider Business Mailing Address
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    Address Line         |    220 E MAIN ST 
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    City                 |    MANCHESTER
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    State                |    IA
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    Zip                  |    52057-1733
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    Country              |    US
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    Telephone            |    563-927-3509
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    Fax                  |    563-927-8849
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. ASHLEY ANNE BREHME 
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    Credential           |    PHARMD
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    Telephone            |    563-927-3509
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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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