Most Relevant Information
Provider Data
| NPI Number: | 1003236381 |
| Provider Name: | LARRY BROWN R.PH. |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 007449 |
Most Important Dates
| Enumeration Date: | 04/24/2014 |
| Last Updated: | 04/24/2014 |
Provider Practice Location
1860 OUTER LOOP
LOUISVILLE
KY
402193429
Practice Location Phone/Fax
| Phone: | 5024220605 |
| Fax: |
Provider Mailing Location
1860 OUTER LOOP
LOUISVILLE
KY
402193429
Provider Mailing Phone/Fax
| Phone: | 5024220605 |
| Fax: |