MEDICARE: DR. ALEX BRAMMER PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	12525	SC

General Provider Information

NPI Number	:	1073966032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEX BRAMMER PHARMD

Provider Business Mailing Address
First Line	:	PO BOX 37
Second Line	:
City	:	SUMMERTON
State	:	SC
Zip	:	29148-0037
Country	:	US
Telephone Number	:	803-485-8586
Fax Number	:	803-485-4306

Provider Business Practice Location Address
First Line	:	115 MAIN ST
Second Line	:	SUMMERTON DRUGS
City	:	SUMMERTON
State	:	SC
Zip	:	29148-6904
Country	:	US
Telephone Number	:	803-485-8586
Fax Number	:	803-485-4306

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2016
Last Update Date	:	07/14/2016

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