Healthcare Provider Details

I. General information

NPI: 1447569108
Provider Name (Legal Business Name): ANNA M BROWN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2010
Last Update Date: 01/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 EASTLAKE AVE E, G5-900
SEATTLE WA
98109-1023
US

IV. Provider business mailing address

PO BOX 19023 825 EASTLAKE AVE E, G5-900
SEATTLE WA
98109-1023
US

V. Phone/Fax

Practice location:
  • Phone: 206-288-6788
  • Fax: 206-288-6998
Mailing address:
  • Phone: 206-288-6788
  • Fax: 206-288-6998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License NumberPH60178043
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: