Provider Demographics
NPI:1578154696
Name:BROWN, KAREN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:LEONARDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4814 COUNTRY CLUB LN
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59803-2015
Mailing Address - Country:US
Mailing Address - Phone:406-231-1413
Mailing Address - Fax:
Practice Address - Street 1:4814 COUNTRY CLUB LN
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59803-2015
Practice Address - Country:US
Practice Address - Phone:406-231-1413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT71191183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist