Organization
BREHME DRUG INC
Active
Other names
BLAKESLY DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY BREHME (DR.)
(563) 927-3509
Entity
Organization
Contact information
Practice address
220 E MAIN ST, MANCHESTER, IA 52057
(563) 927-3509
(563) 927-8849
Mailing address
220 E MAIN ST, MANCHESTER, IA 52057-1733
(563) 927-3509
(563) 927-8849
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1592
IA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0709534
—
IA
01
—
2167589
PK
—
Enumeration date
05/31/2006
Last updated
06/11/2018
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