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NPI Code Detail

MEDICARE: DR. JEREMY BROWN PHARMD

MEDICARE: DR. JEREMY BROWN PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRPH025976GA
2183500000XPharmacistRPH-0016701OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RPH025976OTHERGAGEORGIA STATE PHARMACY LICENSE
2RPH-0016701OTHEROROREGON BOARD OF PHARMACY

General Provider Information

NPI Number : 1093095259
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEREMY BROWN PHARMD
Provider Business Mailing Address
First Line : 1775 THOMPSON RD
Second Line :
City : COOS BAY
State : OR
Zip : 97420-2198
Country : US
Telephone Number : 541-269-8489
Fax Number :
Provider Business Practice Location Address
First Line : 1775 THOMPSON RD
Second Line :
City : COOS BAY
State : OR
Zip : 97420-2198
Country : US
Telephone Number : 541-269-8489
Fax Number : 912-265-0956
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2011
Last Update Date : 06/05/2023

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Directions to “ DR. JEREMY BROWN PHARMD” Practice Location

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