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NPI Code Detail

MEDICARE: DR. SHAKIRA IFE BROWN PHARMD

MEDICARE: DR. SHAKIRA IFE BROWN PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P1200XPharmacotherapy PharmacistPR5246ME
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist051292107IL

General Provider Information

NPI Number : 1386640290
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAKIRA IFE BROWN PHARMD
Provider Business Mailing Address
First Line : 9744 DEE RD
Second Line : 4-416
City : DES PLAINES
State : IL
Zip : 60016-1768
Country : US
Telephone Number : 773-403-3741
Fax Number :
Provider Business Practice Location Address
First Line : 3001 GREEN BAY RD
Second Line :
City : NORTH CHICAGO
State : IL
Zip : 60064-3048
Country : US
Telephone Number : 847-688-1900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 01/21/2011

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