Individual
BRIAN BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
7421 E INDEPENDENCE BLVD, CHARLOTTE, NC 28227-9403
(704) 474-0461
Mailing address
12833 MARANATHA DR, NORWOOD, NC 28128-7473
(704) 474-0461
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8063
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8063
NC BOARD OF PHARMACY
NC
Enumeration date
05/19/2016
Last updated
05/19/2016
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