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NPI Code Detail

MEDICARE: PEGGY BREUER R.PH.

MEDICARE:   PEGGY  BREUER  R.PH.
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
1183500000XPharmacist10640-040WI

General Provider Information

NPI Number : 1811173149
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEGGY BREUER R.PH.
Provider Business Mailing Address
First Line : 1875 MONROE ST
Second Line :
City : MADISON
State : WI
Zip : 53711-2024
Country : US
Telephone Number : 608-256-8712
Fax Number :
Provider Business Practice Location Address
First Line : 1875 MONROE ST
Second Line :
City : MADISON
State : WI
Zip : 53711-2024
Country : US
Telephone Number : 608-256-8712
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2008
Last Update Date : 01/16/2008

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Directions to “ PEGGY BREUER R.PH.” Practice Location

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