Provider Demographics
NPI:1063679439
Name:BIEBER, BRETT C (PHARMD (RPH))
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:C
Last Name:BIEBER
Suffix:
Gender:M
Credentials:PHARMD (RPH)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 5TH ST
Mailing Address - Street 2:MERCY MEDICAL CENTER - MAIN PHARMACY
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51101-1326
Mailing Address - Country:US
Mailing Address - Phone:712-279-5992
Mailing Address - Fax:
Practice Address - Street 1:801 5TH ST
Practice Address - Street 2:MERCY MEDICAL CENTER - MAIN PHARMACY
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51101-1326
Practice Address - Country:US
Practice Address - Phone:712-279-5992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20833183500000X
SD5550183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist