Provider Demographics
NPI:1487852323
Name:BROWN'S DISCOUNT DRUGS
Entity Type:Organization
Organization Name:BROWN'S DISCOUNT DRUGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:F
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:JR
Authorized Official - Credentials:RPH
Authorized Official - Phone:601-656-2272
Mailing Address - Street 1:584 E MAIN ST
Mailing Address - Street 2:SUITE B-3
Mailing Address - City:PHILADELPHIA
Mailing Address - State:MS
Mailing Address - Zip Code:39350-2342
Mailing Address - Country:US
Mailing Address - Phone:601-656-2272
Mailing Address - Fax:601-650-9040
Practice Address - Street 1:584 E MAIN ST
Practice Address - Street 2:SUITE B-3
Practice Address - City:PHILADELPHIA
Practice Address - State:MS
Practice Address - Zip Code:39350-2342
Practice Address - Country:US
Practice Address - Phone:601-656-2272
Practice Address - Fax:601-650-9040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS01002332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00440589Medicaid
MS1871503680Medicare ID - Type UnspecifiedMEDICARE