Healthcare Provider Details

I. General information

NPI: 1265618565
Provider Name (Legal Business Name): SARAH MARIE BROWN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2008
Last Update Date: 01/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 W MAIN ST
KASSON MN
55944-1142
US

IV. Provider business mailing address

408 W MAIN ST
KASSON MN
55944-1142
US

V. Phone/Fax

Practice location:
  • Phone: 507-634-3341
  • Fax: 507-634-4067
Mailing address:
  • Phone: 507-634-3341
  • Fax: 507-634-4067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number117795
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: