Brooks, David Wayne

Brooks, David Wayne is an individual health care provider with primary practice located at 905 N Main St , Austin MN 55912-3357. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Brooks, David Wayne can be contacted via phone (507) 606-5912.

Contact Information

Primary practice address
905 N Main St Austin MN 55912-3357
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 116104 Minnesota

Profile Details

NPI number 1144362120
LBN Legal business name Brooks, David Wayne
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Feb 3rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144362120 NPPES
Minnesota Other 116104-5 STATE LICENSE NUMBER

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