Provider Demographics
NPI:1164886073
Name:BROWN, ANN CELESTE (PHARM D)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:CELESTE
Last Name:BROWN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:989 BASS LN
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:MT
Mailing Address - Zip Code:59828-9740
Mailing Address - Country:US
Mailing Address - Phone:406-529-1385
Mailing Address - Fax:184-739-6329
Practice Address - Street 1:1235 N 1ST ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:MT
Practice Address - Zip Code:59840-3102
Practice Address - Country:US
Practice Address - Phone:406-363-4367
Practice Address - Fax:184-739-6329
Is Sole Proprietor?:No
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT21536183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist