Brown, Timothy Donald

Brown, Timothy Donald is an sole proprietor health care provider with primary practice located at 280 S Idaho St , Wendell ID 83355-5200. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Nuclear. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Brown, Timothy Donald can be contacted via phone (208) 536-5761.

Contact Information

Primary practice address
280 S Idaho St Wendell ID 83355-5200
Phone: (208) 536-5761
Fax: (208) 536-5852
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P5751 Idaho
Pharmacy Service Providers / Nuclear 1835N0905X P5751 Idaho

Profile Details

NPI number 1710323712
LBN Legal business name Brown, Timothy Donald
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2013
Last updated May 16th, 2013 - about 11 years ago

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 1710323712 NPPES
Idaho Other P5751 STATE LICENSE NUMBER

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