Healthcare Provider Details

I. General information

NPI: 1215527155
Provider Name (Legal Business Name): ROBIN D BROWN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2021
Last Update Date: 01/25/2021
Certification Date: 01/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88960 HWY 9
LINEVILLE AL
36266
US

IV. Provider business mailing address

PO BOX 67
LINEVILLE AL
36266-0067
US

V. Phone/Fax

Practice location:
  • Phone: 256-396-5632
  • Fax: 256-396-5142
Mailing address:
  • Phone: 256-396-5632
  • Fax: 256-396-5142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number11778
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: