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NPI Code Detail

MEDICARE: CORWIN LEE BROWER RPH

MEDICARE: CORWIN LEE BROWER RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist0202006965VA

General Provider Information

NPI Number : 1013910207
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORWIN LEE BROWER RPH
Provider Business Mailing Address
First Line : 1010 PENDLETON ST
Second Line :
City : RADFORD
State : VA
Zip : 24141-2827
Country : US
Telephone Number : 540-639-5884
Fax Number :
Provider Business Practice Location Address
First Line : 2900 TYLER RD
Second Line :
City : CHRISTIANSBURG
State : VA
Zip : 24073-6374
Country : US
Telephone Number : 540-731-2689
Fax Number : 540-731-2693
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 01/02/2013

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