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Organization

BROWNS DRUG STORE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIUS FERNANDO RPH (PIC)
(671) 649-1977
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
PCY015
VT
3336C0002X
Clinic Pharmacy
Primary
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4700779
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
11/29/2006
Last updated
09/11/2025
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