Provider Demographics
NPI:1235228420
Name:BROWN, JULIE H (PHARMD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:H
Last Name:BROWN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 RED KAPP RD
Mailing Address - Street 2:
Mailing Address - City:WARTBURG
Mailing Address - State:TN
Mailing Address - Zip Code:37887-4104
Mailing Address - Country:US
Mailing Address - Phone:423-346-1733
Mailing Address - Fax:423-346-2756
Practice Address - Street 1:1006 MAIN STREET
Practice Address - Street 2:WARTBURG PHARMACY INC
Practice Address - City:WARTBURG
Practice Address - State:TN
Practice Address - Zip Code:37887
Practice Address - Country:US
Practice Address - Phone:423-346-2700
Practice Address - Fax:423-346-2756
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9742183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN9742OtherSTATE LICENSE NUMBER