Provider Demographics
NPI:1255300570
Name:BROWN, MICHELE DENISE (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:DENISE
Last Name:BROWN
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 W LAKE ST STE 1100
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80523-1279
Mailing Address - Country:US
Mailing Address - Phone:970-491-1402
Mailing Address - Fax:970-491-4874
Practice Address - Street 1:151 W LAKE ST STE 1100
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80523-1259
Practice Address - Country:US
Practice Address - Phone:970-491-1402
Practice Address - Fax:970-491-4874
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP438341183500000X
CO21659183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist