Vyke Breen, R.PH.
Individual provider Active NPI Pharmacist · Benson, MN
NPI 1043581663 · NPPES record last updated Jan 13, 2012
Key facts
- NPI
- 1043581663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 113242 (MN)
- Practice address
- 1207 Pacific Ave
Benson, MN 56215-1838 - Phone
- (320) 842-4221
- Fax
- (320) 842-5231
- NPI assigned
- Jan 13, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113242 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breens Pharmacy Inc | Current | Accepting new patients |
Locations
1207 Pacific Ave
Benson, MN 56215
Phone (320) 842-4221
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 113242 | MN | Yes |
Addresses
Primary practice location
1207 Pacific Ave
Benson, MN 56215-1838
Mailing address
1207 Pacific Ave
Benson, MN 56215-1838
Phone (320) 842-4221
Other providers in Benson, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.