Healthcare Provider Details

I. General information

NPI: 1518955582
Provider Name (Legal Business Name): ANDREW BROWNS DRUG STORE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1502 PITTSTON AVE
SCRANTON PA
18505-1668
US

IV. Provider business mailing address

1502 PITTSTON AVE
SCRANTON PA
18505-1668
US

V. Phone/Fax

Practice location:
  • Phone: 570-346-7319
  • Fax: 570-343-5850
Mailing address:
  • Phone: 570-346-7319
  • Fax: 570-343-5850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number04227321
License Number StatePA

VIII. Authorized Official

Name: MR. ROBERT F BROWN
Title or Position: VP OPERATIONS
Credential: MHA
Phone: 570-343-2442