Healthcare Provider Details

I. General information

NPI: 1417237710
Provider Name (Legal Business Name): JOANNA BROWN PHARM. D, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2011
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2724 S SIGNAL BUTTE RD
MESA AZ
85209-2104
US

IV. Provider business mailing address

2724 S SIGNAL BUTTE RD
MESA AZ
85209-2104
US

V. Phone/Fax

Practice location:
  • Phone: 480-481-7205
  • Fax: 480-481-7206
Mailing address:
  • Phone: 602-743-2640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS018712
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: