Organization
BREWER DRUGS INC
Active
Other names
Beauton Drug
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN M MARSHALL PHARMD (PHARMACIST/OWNER)
(573) 649-3761
Entity
Organization
Contact information
Practice address
124 N WASHINGTON ST, EAST PRAIRIE, MO 63845-1140
(573) 649-3923
(573) 649-3761
Mailing address
124 N WASHINGTON ST, EAST PRAIRIE, MO 63845-1140
(573) 649-3923
(573) 649-3761
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2006029484
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620098400
—
MO
Enumeration date
09/21/2007
Last updated
10/13/2020
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