Organization
BREWER DRUGS INC
Active
Other names
BEAUTON DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MARSHALL (OWNER PHRM)
(573) 649-3923
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
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2006029484
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2048850
PK
—
05
—
600098404
—
MO
Enumeration date
02/15/2007
Last updated
12/23/2015
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