# BROWNS DRUG STORE

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

## Provider details

- **NPI number:** 1669549150
- **Authorized official:** JULIUS FERNANDO RPH (PIC)
- **Authorized official phone:** (671) 649-1977

## Contact information

- **Practice address:** 40 MAIN, DERBY LINE, VT 05830
- **Practice address phone:** (802) 873-3122
- **Practice address fax:** (802) 873-9226
- **Mailing address:** 416 CHALAN SAN ANTONIO, TAMUNING, GU 96913-3601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | PCY015 | VT | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4700779 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |