Provider Demographics
NPI:1891069498
Name:BREWER, INYONG (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:INYONG
Middle Name:
Last Name:BREWER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:STEVE
Other - Middle Name:
Other - Last Name:BREWER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:11040 BOLLINGER CANYON RD
Mailing Address - Street 2:SUITE E-878
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94582-4969
Mailing Address - Country:US
Mailing Address - Phone:925-208-1315
Mailing Address - Fax:
Practice Address - Street 1:2221 M L KING JR WAY
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-1318
Practice Address - Country:US
Practice Address - Phone:510-267-7837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-28
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA561561835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist