Provider Demographics
NPI:1245541481
Name:BROWN, AMOS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AMOS
Middle Name:
Last Name:BROWN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 FURCHES DR
Mailing Address - Street 2:#15
Mailing Address - City:GRAY
Mailing Address - State:TN
Mailing Address - Zip Code:37615-6713
Mailing Address - Country:US
Mailing Address - Phone:423-278-6207
Mailing Address - Fax:
Practice Address - Street 1:1650 E ANDREW JOHNSON HWY
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-4274
Practice Address - Country:US
Practice Address - Phone:423-638-4889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-22
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34150183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist