IndividualActive
Breanne Dunsworth, PHARMD
NPI 1568948693 · Pharmacist · Waterloo, IL
Provider details
- NPI number
- 1568948693
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 2016000201 (MO)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
150 Waterloo Commons Dr
Waterloo, IL 62298-1060
Phone: (618) 939-3942
Fax: (618) 939-3943
Approximate (ZIP-level) locationGet directions
Mailing address
1542 Rosewood Terrace Dr
Ballwin, MO 63021-8464
Registry dates
- Enumerated
- 2018-07-11
- Last updated
- 2018-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.