Individual
GARY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 238-7556
Mailing address
4390 E LYN LEA CT, TERRE HAUTE, IN 47805-9775
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26014246A
IN
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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