MEDICARE: RICHARD J BROWN

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
1	183500000X	Pharmacist	8081460-1701	UT

General Provider Information

NPI Number	:	1215868211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD J BROWN

Provider Business Mailing Address
First Line	:	1969 E SOUTHBRIDGE WAY
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84093-2547
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3250 S 700 E
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106-1641
Country	:	US
Telephone Number	:	180-146-7015
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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Directions to “ RICHARD J BROWN ” Practice Location

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