Provider Demographics
NPI:1497822076
Name:BROWN DRUGS, INC.
Entity Type:Organization
Organization Name:BROWN DRUGS, INC.
Other - Org Name:LUMBER CITY DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:KOLBY
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:912-363-4979
Mailing Address - Street 1:PO BOX 128
Mailing Address - Street 2:
Mailing Address - City:LUMBER CITY
Mailing Address - State:GA
Mailing Address - Zip Code:31549
Mailing Address - Country:US
Mailing Address - Phone:912-363-4979
Mailing Address - Fax:912-363-8453
Practice Address - Street 1:3316 E GOLDEN ISLES PARKWAY
Practice Address - Street 2:
Practice Address - City:LUMBER CITY
Practice Address - State:GA
Practice Address - Zip Code:31549
Practice Address - Country:US
Practice Address - Phone:912-363-4979
Practice Address - Fax:912-363-8453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2013750OtherPK
GA000031083AMedicaid
4029760001Medicare PIN