Provider Demographics
NPI:1972219996
Name:BROWN, HILLARY JADE (PHARMD)
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:JADE
Last Name:BROWN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1117 INNESWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-4434
Mailing Address - Country:US
Mailing Address - Phone:662-665-1112
Mailing Address - Fax:
Practice Address - Street 1:1000 CORPORATE CENTRE DR STE 130
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2686
Practice Address - Country:US
Practice Address - Phone:800-801-1355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-15016183500000X
NV23222183500000X
TN42611183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist