Provider Demographics
NPI:1437137023
Name:BRASIER, DEBRA A (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:A
Last Name:BRASIER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28988 W KRISTY LN
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:IL
Mailing Address - Zip Code:60013-9720
Mailing Address - Country:US
Mailing Address - Phone:847-516-2836
Mailing Address - Fax:815-759-4746
Practice Address - Street 1:4201 W MEDICAL CENTER DR
Practice Address - Street 2:CENTEGRA ANTICOAGULATION MANAGEMENT SERVICE
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-8409
Practice Address - Country:US
Practice Address - Phone:815-759-4744
Practice Address - Fax:815-759-4746
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist