Healthcare Provider Details

I. General information

NPI: 1235714197
Provider Name (Legal Business Name): COLLIN A BROWNING PHARM.D, MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2021
Last Update Date: 03/12/2021
Certification Date: 03/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13410 EASTPOINT CENTRE DR STE 101
LOUISVILLE KY
40223-4160
US

IV. Provider business mailing address

13410 EASTPOINT CENTRE DR STE 101
LOUISVILLE KY
40223-4160
US

V. Phone/Fax

Practice location:
  • Phone: 877-662-6633
  • Fax: 877-662-6355
Mailing address:
  • Phone: 877-662-6633
  • Fax: 877-662-6355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number021795
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: