MEDICARE: DR. RITA LEWIS BROWN PHARM.D.

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
1	183500000X	Pharmacist	PS16042	FL

General Provider Information

NPI Number	:	1790786556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RITA LEWIS BROWN PHARM.D.

Provider Business Mailing Address
First Line	:	5578 PEDRICK PLANTATION CIR
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32317-8203
Country	:	US
Telephone Number	:	850-877-3268
Fax Number	:	850-877-3497

Provider Business Practice Location Address
First Line	:	5578 PEDRICK PLANTATION CIR
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32317-8203
Country	:	US
Telephone Number	:	850-877-3268
Fax Number	:	850-877-3497

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	07/08/2007

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