MEDICARE: ANGELA PIETIG BROWN R.PH.

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	1835G0303X	Geriatric Pharmacist	26019781A	IN

General Provider Information

NPI Number	:	1215887138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA PIETIG BROWN R.PH.

Provider Business Mailing Address
First Line	:	4245 SPRINGWOOD CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46228-3122
Country	:	US
Telephone Number	:	317-866-1060
Fax Number	:

Provider Business Practice Location Address
First Line	:	4245 SPRINGWOOD CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46228-3122
Country	:	US
Telephone Number	:	317-866-1060
Fax Number	:

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

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	01/30/2026

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