Provider Demographics
NPI:1831693258
Name:BROWN, AUSTIN PAUL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:PAUL
Last Name:BROWN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2136 ROBINSON RD STE 2
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49203-3558
Mailing Address - Country:US
Mailing Address - Phone:517-750-2180
Mailing Address - Fax:517-750-2181
Practice Address - Street 1:2136 ROBINSON RD STE 2
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49203-3558
Practice Address - Country:US
Practice Address - Phone:517-750-2180
Practice Address - Fax:517-750-2181
Is Sole Proprietor?:No
Enumeration Date:2018-03-20
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302042282183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist