Provider Demographics
NPI:1083759260
Name:BREWER GROUP, INC.
Entity Type:Organization
Organization Name:BREWER GROUP, INC.
Other - Org Name:FAMILY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:BREWER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:910-895-7775
Mailing Address - Street 1:2124 FAYETTEVILLE RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28379-4015
Mailing Address - Country:US
Mailing Address - Phone:910-895-7775
Mailing Address - Fax:
Practice Address - Street 1:2124 FAYETTEVILLE RD
Practice Address - Street 2:SUITE E
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-4015
Practice Address - Country:US
Practice Address - Phone:910-895-7775
Practice Address - Fax:910-895-7715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC09487183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7704671OtherNC MEDICAID DME
NC0795833Medicaid
NC7704671OtherNC MEDICAID DME