Provider Demographics
NPI:1851889869
Name:BREWSTER, HOPE (PHARMD)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:
Last Name:BREWSTER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 THORNTON DR
Mailing Address - Street 2:
Mailing Address - City:PIKETON
Mailing Address - State:OH
Mailing Address - Zip Code:45661-8035
Mailing Address - Country:US
Mailing Address - Phone:740-648-3020
Mailing Address - Fax:740-648-3016
Practice Address - Street 1:104 THORNTON DR
Practice Address - Street 2:
Practice Address - City:PIKETON
Practice Address - State:OH
Practice Address - Zip Code:45661-8035
Practice Address - Country:US
Practice Address - Phone:740-648-3020
Practice Address - Fax:740-648-3016
Is Sole Proprietor?:No
Enumeration Date:2018-04-25
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03232597183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH03232597OtherOHIO STATE BOARD OF PHARMACY LICENSE