Organization
BROWN'S PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILBURN LEE BROWN JR. (OWNER)
(770) 748-1902
Entity
Organization
Contact information
Practice address
546 N MAIN ST, CEDARTOWN, GA 30125-2302
(770) 748-1902
(770) 748-0814
Mailing address
546 N MAIN ST, CEDARTOWN, GA 30125-2302
(770) 748-1902
(770) 748-0814
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE003642
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000022426A
—
GA
Enumeration date
05/24/2007
Last updated
09/26/2012
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