Brown Drug Store Inc
Organization Active NPI Pharmacist · Artesia, NM
NPI 1497899447 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1497899447
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacist 183500000X
- License
- 4621 (NM)
- Legal business name
- BROWN DRUG STORE INC
- Practice address
- 322 W Washington Ave
Artesia, NM 88210-2866 - Phone
- (505) 746-3591
- Fax
- (505) 746-6673
- NPI assigned
- Feb 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Debra J Riley, RPH
- Title
- President
- Phone
- (505) 746-3591
Practitioners 1
-
Debra June Riley, R.PH.
National Provider Directory
Locations
322 W Washington Ave
Artesia, NM 88210
Phone (505) 746-3591
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 4621 | NM | Yes |
Addresses
Primary practice location
322 W Washington Ave
Artesia, NM 88210-2866
Mailing address
322 W Washington Ave
Artesia, NM 88210-2866
Phone (505) 746-3591
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55210 | Medicaid | NM |
Other providers in Artesia, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.