Organization
J D BROWN & CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES D PRITZ B.S. R.PH. (OWNER /MANAGER)
(815) 723-0611
Entity
Organization
Contact information
Practice address
837 PLAINFIELD RD, JOLIET, IL 60435-4660
(815) 723-0611
(815) 723-7865
Mailing address
837 PLAINFIELD RD, JOLIET, IL 60435-4660
(815) 723-0611
(815) 723-7865
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
IL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
IL
333600000X
Pharmacy
Primary
054006443
IL
3336L0003X
Long Term Care Pharmacy
054006443
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009970414
BLUE CROSS PROVIDER NUMBE
IL
01
—
1406330
NABP PHARMACY NUMBER
IL
Enumeration date
07/12/2006
Last updated
09/27/2013
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