Provider Demographics
NPI:1073948741
Name:BROWN, GEORGE HUBERT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:HUBERT
Last Name:BROWN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:845 TELLER AVE
Mailing Address - Street 2:UNIT A
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-3223
Mailing Address - Country:US
Mailing Address - Phone:303-669-9056
Mailing Address - Fax:
Practice Address - Street 1:2424 HWY 6 AND 50
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-1109
Practice Address - Country:US
Practice Address - Phone:970-241-2477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-12
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0020040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist