Healthcare Provider Details

I. General information

NPI: 1013102235
Provider Name (Legal Business Name): GREGORY R BROWNLEE PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2007
Last Update Date: 10/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3725 RIVERS AVE STE 2
NORTH CHARLESTON SC
29405-7072
US

IV. Provider business mailing address

3725 RIVERS AVE STE 2
NORTH CHARLESTON SC
29405-7072
US

V. Phone/Fax

Practice location:
  • Phone: 843-745-8631
  • Fax: 843-849-2017
Mailing address:
  • Phone: 843-745-8631
  • Fax: 843-849-2017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number011494
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: