Individual
MATTHEW R BRUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1630 E 7TH ST, ATLANTIC, IA 50022-1909
(712) 243-2240
Mailing address
902 E 17TH ST, ATLANTIC, IA 50022-2717
(712) 249-4441
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18655
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18655
IOWA BOARD OF PHARMACY PHARMACIST LICENCE NUMBER
IA
Enumeration date
02/18/2020
Last updated
02/18/2020
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