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NPI Code Detail

MEDICARE: BROWNS PHARMACY AND GIFTS LLC

MEDICARE: BROWNS PHARMACY AND GIFTS LLC
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
13336L0003XLong Term Care Pharmacy
23336C0003XCommunity/Retail Pharmacy23-7293OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12137933OTHERPK

General Provider Information

NPI Number : 1881938918
Entity Type Code : Organization
Provider Name (Legal Business Name) : BROWNS PHARMACY AND GIFTS LLC
Provider Business Mailing Address
First Line : 1800 ARLINGTON ST
Second Line :
City : ADA
State : OK
Zip : 74820-2813
Country : US
Telephone Number : 580-279-1416
Fax Number : 580-279-1432
Provider Business Practice Location Address
First Line : 1800 ARLINGTON ST
Second Line :
City : ADA
State : OK
Zip : 74820-2813
Country : US
Telephone Number : 580-279-1416
Fax Number : 580-279-1432
Authorized Official
Title or Position : OWNER/PHARMACIST
Name : DARRELL BROWN
Credential :
Telephone Number : 580-320-7221
Provider Enumeration Date : 11/15/2012
Last Update Date : 06/17/2016

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Directions to “BROWNS PHARMACY AND GIFTS LLC ” Practice Location

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