Provider Demographics
NPI:1881972487
Name:BROWN, TIMOTHY ALAN (RPH, FAARM)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:ALAN
Last Name:BROWN
Suffix:
Gender:
Credentials:RPH, FAARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1775 VILLAGE CENTER CIR STE 190
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-0571
Mailing Address - Country:US
Mailing Address - Phone:702-685-4600
Mailing Address - Fax:702-685-7900
Practice Address - Street 1:1775 VILLAGE CENTER CIR STE 190
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134-0571
Practice Address - Country:US
Practice Address - Phone:702-685-4600
Practice Address - Fax:702-685-7900
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-30
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV135291835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist