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NPI Code Detail

MEDICARE: HATTIE BROWN

MEDICARE:   HATTIE  BROWN
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
1183700000XPharmacy Technician

General Provider Information

NPI Number : 1518063841
Entity Type Code : Individual
Provider Name (Legal Business Name) : HATTIE BROWN
Provider Business Mailing Address
First Line : 500 S BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19146-1613
Country : US
Telephone Number : 215-685-6864
Fax Number :
Provider Business Practice Location Address
First Line : 500 S BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19146-1613
Country : US
Telephone Number : 215-685-6864
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2006
Last Update Date : 07/08/2007

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Directions to “ HATTIE BROWN ” Practice Location

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