Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MAYNARD DAVID BROTHERSEN, RPH
Active Sole ProprietorPharmacist · DAVENPORT, IA
Registration Details
- NPI Number
- 1447398995
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 4, 2007 (19.209585292892 yrs)
- Last Updated
- Jul 8, 2007
- License
-
16463 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2660 E 53RD STSUITE 1DAVENPORT, IA, 528073873Browse IA providers · Browse ZIP 52807
- Phone
- 5633881887
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in DAVENPORT, IA
| Name | Credential | NPI |
|---|---|---|
| MR. JAMES FARRELL SCOTT | PHARMACIST | 1437153343 |
| MRS. LISA DAWN GARNER | PHARMD, RPH | 1598756694 |
| KAYE LYNN WRIGHT | R.PH. | 1487627659 |
| ASHLEY DOHRN | PHARM.D. | 1972612182 |
| BRAD E KAIN | RPH | 1962501478 |
| VICKY JO MARLAND | RPH | 1124128251 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.