Provider Demographics
NPI:1871924712
Name:BROWN, JAMES BAXTER (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BAXTER
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 1:154 PAUL JONES LN
Mailing Address - Street 2:
Mailing Address - City:RUSSELL SPRINGS
Mailing Address - State:KY
Mailing Address - Zip Code:42642-9358
Mailing Address - Country:US
Mailing Address - Phone:606-875-0518
Mailing Address - Fax:
Practice Address - Street 1:154 PAUL JONES LN
Practice Address - Street 2:
Practice Address - City:RUSSELL SPRINGS
Practice Address - State:KY
Practice Address - Zip Code:42642-9358
Practice Address - Country:US
Practice Address - Phone:606-875-0518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-03
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0084231835N1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N1003XPharmacy Service ProvidersPharmacistNutrition Support