Elle E Brown Charitable Circle

NPI 1093041345 - Pharmacy - 3336I0012X

NPI Details
NPI 1093041345
Enumeration Date 10/21/2009
Last Updated 04/30/2015
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name KELLIE LYNN KELLIE
Position DIRECTOR OF PHARMACY
Phone (269) 789-3905
Fax (269) 789-3975
Practice Location
200 NORHT MADISON ST.
MARSHALL MI, 49068-1143, US
Phone (269) 789-3905
Fax (269) 789-3975
Business Location
200 NORTH MADISON ST.
ATTN: PHARMACY
MARSHALL MI, 49068-1143, US
Phone (269) 789-3905
Fax (269) 789-3975
Toxanomy
Taxonomy Code 3336I0012X
License State Michigan
License Number 5301001125
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According to our database, Elle E Brown Charitable Circle NPI is 1093041345, taxonomy code is 3336I0012X and license number is 5301001125, license state is located at Michigan. Elle E Brown Charitable Circle physically located at 200 Norht Madison St., Marshall MI, 49068-1143. NPI Number 1033115704 has the healthcare provider type.

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1093041345 NPI number is provided on an as is basis without warranty of any kind. 1093041345 is maintained by the National Plan & Provider Enumeration System. The contents of Elle E Brown Charitable Circle are for informational purposes only.