Healthcare Provider Details

I. General information

NPI: 1235228420
Provider Name (Legal Business Name): JULIE H BROWN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 09/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 MAIN STREET WARTBURG PHARMACY INC
WARTBURG TN
37887
US

IV. Provider business mailing address

233 RED KAPP RD
WARTBURG TN
37887-4104
US

V. Phone/Fax

Practice location:
  • Phone: 423-346-2700
  • Fax: 423-346-2756
Mailing address:
  • Phone: 423-346-1733
  • Fax: 423-346-2756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number9742
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: