Individual
DAVID LEE BREWER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 AIRLINE DR, BOSSIER CITY, LA 71111-2122
(318) 741-6589
Mailing address
424 DANBURY DR, SHREVEPORT, LA 71106-6816
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PST.024718
LA
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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