Provider Demographics
NPI:1548419401
Name:THE BREWER GROUP INC
Entity Type:Organization
Organization Name:THE 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:PHARMD
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:910-895-7715
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:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC094873336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0795833Medicaid