Provider Demographics
NPI:1437761848
Name:BREHME DRUG INC
Entity Type:Organization
Organization Name:BREHME DRUG INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:BREHME
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:563-927-3509
Mailing Address - Street 1:220 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:IA
Mailing Address - Zip Code:52057-1733
Mailing Address - Country:US
Mailing Address - Phone:563-927-3509
Mailing Address - Fax:563-927-8849
Practice Address - Street 1:220 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:IA
Practice Address - Zip Code:52057-1733
Practice Address - Country:US
Practice Address - Phone:563-927-3509
Practice Address - Fax:563-927-8849
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BREHME DRUG INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0709534Medicaid