Individual
DOREEN ELIZABETH BREMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
175 MALABAR RD NW, PALM BAY, FL 32907-2944
(321) 728-4055
Mailing address
175 MALABAR RD NW, PALM BAY, FL 32907-2944
(321) 728-4055
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS34860
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183500000X
WALGREENS
FL
Enumeration date
09/09/2011
Last updated
09/09/2011
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