Individual provider · Type 1 NPI

Maynard David Brothersen, RPH

Pharmacist · Davenport, IA

NPI number 1447398995 Active

Practice location

2660 E 53rd St, Suite 1
Davenport, IA 52807-3873

Mailing address

2827 Farnam St
Davenport, IA 52803-1601

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X16463 (IA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

4 other providers at this address

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About NPI 1447398995

Maynard David Brothersen, RPH's National Provider Identifier is 1447398995, issued on Feb 4, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Davenport, IA. The record was last updated on Jul 8, 2007.