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NPI Code Detail

MEDICARE: BRENNA KATHLEEN STERMER

MEDICARE: BRENNA KATHLEEN STERMER
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
1183500000XPharmacist21062CO
2183500000XPharmacist2016044377MO

General Provider Information

NPI Number : 1760096101
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENNA KATHLEEN STERMER
Provider Business Mailing Address
First Line : 120 S BISHOP AVE
Second Line :
City : ROLLA
State : MO
Zip : 65401-4215
Country : US
Telephone Number : 573-426-3338
Fax Number :
Provider Business Practice Location Address
First Line : 120 S BISHOP AVE
Second Line :
City : ROLLA
State : MO
Zip : 65401-4215
Country : US
Telephone Number : 573-426-3338
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2020
Last Update Date : 09/02/2020

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Directions to “ BRENNA KATHLEEN STERMER ” Practice Location

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