Provider Demographics
NPI:1225166093
Name:BROWN'S COMPOUNDING CENTER, INC.
Entity Type:Organization
Organization Name:BROWN'S COMPOUNDING CENTER, INC.
Other - Org Name:BROWN'S COMPOUNDING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DARBY
Authorized Official - Middle Name:C
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:303-805-9543
Mailing Address - Street 1:10259 S PARKER ROAD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134
Mailing Address - Country:US
Mailing Address - Phone:303-805-9543
Mailing Address - Fax:303-805-0849
Practice Address - Street 1:10259 S PARKER ROAD
Practice Address - Street 2:SUITE 105
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134
Practice Address - Country:US
Practice Address - Phone:303-805-9543
Practice Address - Fax:303-805-0849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO589333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0619354OtherNCPDP