Provider Demographics
NPI:1710262373
Name:ASHER, BRENT ANDREW (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRENT
Middle Name:ANDREW
Last Name:ASHER
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 1:311 BERWICK XING
Mailing Address - Street 2:
Mailing Address - City:SHILOH
Mailing Address - State:IL
Mailing Address - Zip Code:62221-3013
Mailing Address - Country:US
Mailing Address - Phone:618-334-8512
Mailing Address - Fax:
Practice Address - Street 1:2001 MADISON AVE
Practice Address - Street 2:
Practice Address - City:GRANITE CITY
Practice Address - State:IL
Practice Address - Zip Code:62040-4618
Practice Address - Country:US
Practice Address - Phone:618-876-5095
Practice Address - Fax:618-876-5205
Is Sole Proprietor?:No
Enumeration Date:2011-10-14
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011026556183500000X
IL051.295377183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist