MEDICARE: BREWER MEDICAL SERVICES, INC.

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	0111459	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0111459	OTHER	AL	PHARMACY

General Provider Information

NPI Number	:	1396755997
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BREWER MEDICAL SERVICES, INC.

Provider Business Mailing Address
First Line	:	2724 N JACKSON HWY
Second Line	:
City	:	SHEFFIELD
State	:	AL
Zip	:	35660-3431
Country	:	US
Telephone Number	:	256-389-9393
Fax Number	:	256-383-1870

Provider Business Practice Location Address
First Line	:	2724 N JACKSON HWY
Second Line	:
City	:	SHEFFIELD
State	:	AL
Zip	:	35660-3431
Country	:	US
Telephone Number	:	256-389-9393
Fax Number	:	256-383-1870

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KELVIN D BREWER
Credential	:
Telephone Number	:	256-389-9393

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	05/23/2008

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