Provider Demographics
NPI:1144875212
Name:BROWN, GEOFFREY WILLIAM (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:WILLIAM
Last Name:BROWN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1597 W RIDGE RD STE 302
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14615-2513
Mailing Address - Country:US
Mailing Address - Phone:585-739-5880
Mailing Address - Fax:
Practice Address - Street 1:1597 W RIDGE RD STE 302
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14615-2513
Practice Address - Country:US
Practice Address - Phone:585-739-5880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-06
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0646561835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy