Provider Demographics
NPI:1235277245
Name:BROWNFIELD PHARMACY INC
Entity Type:Organization
Organization Name:BROWNFIELD PHARMACY INC
Other - Org Name:BROWNFIELD PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWNFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:479-996-2424
Mailing Address - Street 1:PO BOX 1477
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72936-1477
Mailing Address - Country:US
Mailing Address - Phone:479-996-2424
Mailing Address - Fax:479-996-2436
Practice Address - Street 1:675 W CENTER ST
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:AR
Practice Address - Zip Code:72936-4605
Practice Address - Country:US
Practice Address - Phone:479-996-2424
Practice Address - Fax:479-996-2436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR9535183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty