John Irwin Brown, RPH

Individual provider Active NPI Geriatric Pharmacist · Satanta, KS

NPI 1255735528 · NPPES record last updated Oct 15, 2014

Key facts

NPI
1255735528
Entity type
Individual (NPI type 1)
Primary specialty
Geriatric Pharmacist 1835G0303X
License
1-15040 (KS)
Practice address
401 Cheyenne
Satanta, KS 67870-8748
Phone
(620) 649-2450
Fax
(620) 649-2959
NPI assigned
Oct 15, 2014
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
1-15040KSMDGeriatric Pharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X 1-15040 KS Yes

Addresses

Primary practice location

401 Cheyenne
Satanta, KS 67870-8748

Mailing address

401 Cheyenne
PO Box 159
Satanta, KS 67870-8748
Phone (620) 649-2450

Other providers in Satanta, KS

All providers in Satanta, KS · Geriatric Pharmacist in Kansas

Sources for this page

Verify at the official NPI Registry.