MEDICARE: DANIEL ALAN 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	5302021755	MI

General Provider Information

NPI Number	:	1891007043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL ALAN BROWN

Provider Business Mailing Address
First Line	:	1378 WALTON BLVD
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-1754
Country	:	US
Telephone Number	:	248-652-0900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1378 WALTON BLVD
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-1754
Country	:	US
Telephone Number	:	248-652-0900
Fax Number	:

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

Provider Enumeration Date	:	07/04/2010
Last Update Date	:	07/04/2010

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