Provider Demographics
NPI:1295059335
Name:BREW, ANTHONY A (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:A
Last Name:BREW
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 1:3101 MARK TWAIN DR
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-1982
Mailing Address - Country:US
Mailing Address - Phone:956-712-8726
Mailing Address - Fax:956-717-0313
Practice Address - Street 1:5001 SAN DARIO AVE
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5777
Practice Address - Country:US
Practice Address - Phone:956-729-1907
Practice Address - Fax:956-717-0313
Is Sole Proprietor?:No
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43055183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist