Doctor Name: | TIMOTHY DONALD BROWN |
NPI Number: | 1710323712 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHARMD |
License Number: | P5751 |
Business Practice Address: | 280 S Idaho St Wendell, ID - 833555200 |
Business Phone Number: | 2085365761 |
Business Fax Number: | 2085365852 |
Mailing Address: | Po Box 487, WENDELL |
State: | ID |
Postal Code: | 833550487 |
Phone Number: | 2085365761 |
Fax Number: | 2085365852 |
NPI Enumeration Date: | 05/16/2013 |
NPI Last Update Date: | 05/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835N0905X |
License Number: | P5751 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Nuclear |
Taxonomy Definition: | A licensed pharmacist who has demonstrated specialized knowledge and skill in procurement, compounding, quality control testing, dispensing, distribution, and monitoring of radiopharmaceuticals. |