Provider Demographics
NPI:1477279982
Name:SCREWS, BRENDA (RPH)
Entity Type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:
Last Name:SCREWS
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 1:4140 SALEM AVE.
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45416
Mailing Address - Country:US
Mailing Address - Phone:937-278-9457
Mailing Address - Fax:937-275-5703
Practice Address - Street 1:ZIKS PHARMACY 102 4140
Practice Address - Street 2:4140 SALEM AVE.
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45416
Practice Address - Country:US
Practice Address - Phone:937-278-9457
Practice Address - Fax:937-275-5703
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03120641183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist