Healthcare Provider Details

I. General information

NPI: 1700878105
Provider Name (Legal Business Name): TIMOTHY R BROWN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/22/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 WABASH AVE CENTER FOR FAMILY MEDICINE
AKRON OH
44307-2433
US

IV. Provider business mailing address

400 WABASH AVE CENTER FOR FAMILY MEDICINE
AKRON OH
44307-2433
US

V. Phone/Fax

Practice location:
  • Phone: 330-344-1797
  • Fax:
Mailing address:
  • Phone: 330-344-1797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number01-20718
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: