Brown, Jeremy

Brown, Jeremy is an individual health care provider with primary practice located at 1775 Thompson Rd , Coos Bay OR 97420-2198. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Brown, Jeremy can be contacted via phone (541) 269-8489.

Contact Information

Primary practice address
1775 Thompson Rd Coos Bay OR 97420-2198
Phone: (541) 269-8489
Fax: (912) 265-0956
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH025976 Georgia
Pharmacy Service Providers / Pharmacist 183500000X RPH-0016701 Oregon

Profile Details

NPI number 1093095259
LBN Legal business name Brown, Jeremy
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2011
Last updated Jun 5th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093095259 NPPES
Georgia Other RPH025976 GEORGIA STATE PHARMACY LICENSE
Georgia Other RPH-0016701 GEORGIA STATE PHARMACY LICENSE

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