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NPI Code Detail

MEDICARE: DR. ABBIE WILLIAMS BROWN PHARMD

MEDICARE: DR. ABBIE WILLIAMS BROWN PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistSC14160SC
2183500000XPharmacist14160SC

General Provider Information

NPI Number : 1154761708
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABBIE WILLIAMS BROWN PHARMD
Provider Business Mailing Address
First Line : 1903 S LAKE DR
Second Line :
City : LEXINGTON
State : SC
Zip : 29073-7760
Country : US
Telephone Number : 803-356-1001
Fax Number :
Provider Business Practice Location Address
First Line : 1903 S LAKE DR
Second Line :
City : LEXINGTON
State : SC
Zip : 29073-7760
Country : US
Telephone Number : 803-356-1001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2013
Last Update Date : 11/07/2017

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