Healthcare Provider Details

I. General information

NPI: 1972677458
Provider Name (Legal Business Name): ROBERT P BROWN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

197 E PLUMSTEAD AVE
LANSDOWNE PA
19050-1221
US

IV. Provider business mailing address

1125 OLD LN
DREXEL HILL PA
19026-1820
US

V. Phone/Fax

Practice location:
  • Phone: 610-626-4941
  • Fax: 610-626-4905
Mailing address:
  • Phone: 610-449-3172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP025553L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: