Provider Demographics
NPI:1023201852
Name:BROWN, WENDI ANN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:WENDI
Middle Name:ANN
Last Name:BROWN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 BERLIN CROSS KEYS RD
Mailing Address - Street 2:PHARMACY DEPARTMENT
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-4368
Mailing Address - Country:US
Mailing Address - Phone:856-728-6052
Mailing Address - Fax:856-728-4945
Practice Address - Street 1:515 BERLIN CROSS KEYS RD
Practice Address - Street 2:PHARMACY DEPARTMENT
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-4368
Practice Address - Country:US
Practice Address - Phone:856-728-6052
Practice Address - Fax:856-728-4945
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02353100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist