MEDICARE: DR. MICHELE DENISE BROWN PHARM.D., RPH

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	RP438341	PA
2	183500000X	Pharmacist	21659	CO

General Provider Information

NPI Number	:	1255300570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELE DENISE BROWN PHARM.D., RPH

Provider Business Mailing Address
First Line	:	151 W LAKE ST STE 1100
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80523-1279
Country	:	US
Telephone Number	:	970-491-1402
Fax Number	:	970-491-4874

Provider Business Practice Location Address
First Line	:	151 W LAKE ST STE 1100
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80523-1259
Country	:	US
Telephone Number	:	970-491-1402
Fax Number	:	970-491-4874

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

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	09/05/2023

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