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NPI Code Detail

MEDICARE: MR. CARY MAURICE BROWN RPH

MEDICARE: MR. CARY MAURICE BROWN RPH
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
1183500000XPharmacistPS18695FL

General Provider Information

NPI Number : 1306178116
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CARY MAURICE BROWN RPH
Provider Business Mailing Address
First Line : 600 VIANA CT
Second Line :
City : WINTER SPRINGS
State : FL
Zip : 32708-3916
Country : US
Telephone Number : 407-699-5658
Fax Number :
Provider Business Practice Location Address
First Line : 5650 RED BUG LAKE RD
Second Line :
City : WINTER SPRINGS
State : FL
Zip : 32708-4904
Country : US
Telephone Number : 407-699-0781
Fax Number : 407-699-5720
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2010
Last Update Date : 02/03/2010

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