Healthcare Provider Details

I. General information

NPI: 1487859542
Provider Name (Legal Business Name): NAJWA BROWN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2007
Last Update Date: 06/30/2023
Certification Date: 06/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

823 ANN ST SUITE E
STROUDSBURG PA
18360-1639
US

IV. Provider business mailing address

5624 FISH HAWK CT
WALDORF MD
20601-5431
US

V. Phone/Fax

Practice location:
  • Phone: 570-476-6936
  • Fax: 570-476-6938
Mailing address:
  • Phone: 240-784-1686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP437490
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number20534
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: