Healthcare Provider Details

I. General information

NPI: 1942966536
Provider Name (Legal Business Name): BROWN'S PROFESSIONAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2021
Last Update Date: 11/09/2021
Certification Date: 10/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2136 ROBINSON RD STE 2
JACKSON MI
49203-3558
US

IV. Provider business mailing address

1410 W GANSON ST
JACKSON MI
49202-4063
US

V. Phone/Fax

Practice location:
  • Phone: 517-750-2180
  • Fax: 517-750-2181
Mailing address:
  • Phone: 517-789-8980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: GRANT HAROLD BROWN
Title or Position: CEO
Credential: PHARM.D.
Phone: 517-789-8980