Healthcare Provider Details

I. General information

NPI: 1487681946
Provider Name (Legal Business Name): BRIAN K PLOWMAN PHARM.D., MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 LA JOLLA VILLAGE DRIVE (119)
SAN DIEGO CA
92161
US

IV. Provider business mailing address

3442 VIA MANDRIL
BONITA CA
91902
US

V. Phone/Fax

Practice location:
  • Phone: 858-552-8585
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number44861
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: