Provider Demographics
NPI:1134490683
Name:HIERS, BROOKS ANDERSON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BROOKS
Middle Name:ANDERSON
Last Name:HIERS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1459 TIGER PARK LN
Mailing Address - Street 2:
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32563-5720
Mailing Address - Country:US
Mailing Address - Phone:850-916-1955
Mailing Address - Fax:850-916-1968
Practice Address - Street 1:1459 TIGER PARK LN
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32563-5720
Practice Address - Country:US
Practice Address - Phone:850-916-1955
Practice Address - Fax:850-916-1968
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-14
Last Update Date:2012-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS37079183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist