Individual
DAVIDTA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
26 BARON DR, WARWICK, NY 10990-3462
(845) 232-0393
Mailing address
26 BARON DR, WARWICK, NY 10990-3462
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
063050
NY
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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