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NPI Code Detail

MEDICARE: DORA DELIA BROWN

MEDICARE: DORA DELIA BROWN
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
1183500000XPharmacist63802TX

General Provider Information

NPI Number : 1992318778
Entity Type Code : Individual
Provider Name (Legal Business Name) : DORA DELIA BROWN
Provider Business Mailing Address
First Line : 10206 LAMB BROOK LN
Second Line :
City : PEARLAND
State : TX
Zip : 77584-2267
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1088 W MAIN ST
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-2022
Country : US
Telephone Number : 281-332-3445
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2020
Last Update Date : 08/31/2020

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Directions to “ DORA DELIA BROWN ” Practice Location

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