Individual
MR. GARY ALBERT BREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2521 S 6TH ST, KLAMATH FALLS, OR 97601-4343
(541) 883-2210
(541) 883-9042
Mailing address
6321 HARLAN DR, KLAMATH FALLS, OR 97603-7781
(541) 850-3209
(541) 883-9042
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4969
OR
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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