Healthcare Provider Details

I. General information

NPI: 1609960160
Provider Name (Legal Business Name): HOPE S BROWN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 09/19/2022
Certification Date: 09/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 S MAIN ST
HEMINGWAY SC
29554-6681
US

IV. Provider business mailing address

207 S MAIN ST
HEMINGWAY SC
29554-6681
US

V. Phone/Fax

Practice location:
  • Phone: 843-601-1604
  • Fax:
Mailing address:
  • Phone: 843-601-1604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number19386
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number009139
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: