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General NPI Number Information
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NPI Number | 1952387938
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Entity Type | Organization
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Legal Business Name | BROWN DRUG CO. INC.
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Dates
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Enumeration Date | 12/21/2005
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Last Update Date | 03/19/2009
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Provider Practice Location Address
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Address Line | 1294 THOMPSON BRIDGE RD
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City | GAINESVILLE
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State | GA
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Zip | 30501
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Country | US
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Telephone | 770-534-2854
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Fax | 770-534-2938
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Provider Business Mailing Address
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Address Line | 1294 THOMPSON BRIDGE RD
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City | GAINESVILLE
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State | GA
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Zip | 30501
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Country | US
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Telephone | 770-534-2854
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Fax | 770-534-2938
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Authorized Official
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Title or Position | OWNER PHARMACIST
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Name | CLEVELAND W. BROWN
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Credential | RPH
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Telephone | 770-534-2854
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 12105
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License Number State | GA
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