Provider Demographics
NPI:1922337708
Name:BROWN, JASON E (PHAMRD)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:E
Last Name:BROWN
Suffix:
Gender:M
Credentials:PHAMRD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 FM 528
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-5011
Mailing Address - Country:US
Mailing Address - Phone:281-316-9300
Mailing Address - Fax:
Practice Address - Street 1:3201 FM 528 RD
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-5011
Practice Address - Country:US
Practice Address - Phone:281-316-9300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46296183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist