Individual
DEIDRE FLEMING BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4645 BLANDING BLVD, JACKSONVILLE, FL 32210-7324
(904) 771-5432
Mailing address
561 ACORNRIDGE LN, ORANGE PARK, FL 32065-2271
(904) 502-7455
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
56906
CA
183500000X
Pharmacist
Primary
PS29452
FL
183500000X
Pharmacist
RPH025302
GA
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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