Healthcare Provider Details

I. General information

NPI: 1609012863
Provider Name (Legal Business Name): BROWNSVILLE PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2008
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 MARKET ST
BROWNSVILLE PA
15417-1787
US

IV. Provider business mailing address

66 W PIKE ST
CANONSBURG PA
15317-1314
US

V. Phone/Fax

Practice location:
  • Phone: 724-785-7095
  • Fax: 724-785-7098
Mailing address:
  • Phone: 724-745-6480
  • Fax: 724-745-8818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP481890
License Number StatePA

VIII. Authorized Official

Name: GERARD OHARE
Title or Position: OWNER
Credential:
Phone: 724-745-6480