Organization
THOMAS J BROWN JR
Active
Other names
Montezuma Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS J BROWN JR. RPH (OWNER)
(620) 846-2202
Entity
Organization
Contact information
Practice address
300 N AZTEC, MONTEZUMA, KS 67867-0128
(620) 846-2202
(620) 846-7130
Mailing address
PO BOX 128, MONTEZUMA, KS 67867-0128
(620) 846-2202
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
203995
KS
332B00000X
Durable Medical Equipment & Medical Supplies
203995
KS
333600000X
Pharmacy
Primary
108493
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100445210A
—
KS
Enumeration date
08/30/2006
Last updated
07/17/2008
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