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Individual

DR. JEREMY BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1775 THOMPSON RD, COOS BAY, OR 97420-2198
(541) 269-8489
(912) 265-0956
Mailing address
1775 THOMPSON RD, COOS BAY, OR 97420-2198
(541) 269-8489

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0016701
OR
183500000X
Pharmacist
RPH025976
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RPH-0016701
OREGON BOARD OF PHARMACY
OR
01
RPH025976
GEORGIA STATE PHARMACY LICENSE
GA
Enumeration date
08/19/2011
Last updated
06/05/2023
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