Healthcare Provider Details

I. General information

NPI: 1558285478
Provider Name (Legal Business Name): JARRETT BROWN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 E MICHIGAN AVE
JACKSON MI
49202-3853
US

IV. Provider business mailing address

12036 COUNTRY RIVER DR
RIVES JUNCTION MI
49277-9718
US

V. Phone/Fax

Practice location:
  • Phone: 517-783-0210
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302418985
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: