# BROWN DRUG STORE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497899447
- **Authorized official:** DEBRA J RILEY RPH (PRESIDENT)
- **Authorized official phone:** (505) 746-3591

## Contact information

- **Practice address:** 322 W WASHINGTON AVE, ARTESIA, NM 88210-2866
- **Practice address phone:** (505) 746-3591
- **Practice address fax:** (505) 746-6673
- **Mailing address:** 322 W WASHINGTON AVE, ARTESIA, NM 88210-2866
- **Mailing address phone:** (505) 746-3591
- **Mailing address fax:** (505) 746-6673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 4621 | NM | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 55210 | — | NM |