Provider Demographics
NPI:1598512543
Name:ANDREW BROWNS DRUG STORE, INC
Entity type:Organization
Organization Name:ANDREW BROWNS DRUG STORE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-346-7319
Mailing Address - Street 1:1502 PITTSTON AVE
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18505-1668
Mailing Address - Country:US
Mailing Address - Phone:570-346-7319
Mailing Address - Fax:570-343-5850
Practice Address - Street 1:1502 PITTSTON AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18505-1668
Practice Address - Country:US
Practice Address - Phone:570-346-7319
Practice Address - Fax:570-343-5850
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANDREW BROWN'S DRUG STORE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-06
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy