MEDICARE: JUSTBREN, 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	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1437871100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUSTBREN, INC.

Provider Business Mailing Address
First Line	:	1101 W MONROE ST STE 103
Second Line	:
City	:	MEXICO
State	:	MO
Zip	:	65265-1977
Country	:	US
Telephone Number	:	573-581-7561
Fax Number	:	573-581-7562

Provider Business Practice Location Address
First Line	:	1101 W MONROE ST STE 103
Second Line	:
City	:	MEXICO
State	:	MO
Zip	:	65265-1977
Country	:	US
Telephone Number	:	573-581-7561
Fax Number	:	573-581-7562

Authorized Official
Title or Position	:	GM
Name	:	BRENDAN WEBBER
Credential	:
Telephone Number	:	573-581-7561

Provider Enumeration Date	:	09/19/2022
Last Update Date	:	03/11/2026

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Directions to “JUSTBREN, INC. ” Practice Location

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