MEDICARE: LORI C BROWN PHARM.D.

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
1	183500000X	Pharmacist	15581	NC

General Provider Information

NPI Number	:	1740277417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI C BROWN PHARM.D.

Provider Business Mailing Address
First Line	:	2120 HAMRICK DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-2509
Country	:	US
Telephone Number	:	919-845-7076
Fax Number	:

Provider Business Practice Location Address
First Line	:	760 MERRIMON AVE
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28804-2456
Country	:	US
Telephone Number	:	828-255-8757
Fax Number	:	828-255-8829

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2005
Last Update Date	:	08/05/2022

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