Provider Demographics
NPI:1053475210
Name:BROWN, ELIZABETH SUZANNE (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:SUZANNE
Last Name:BROWN
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 RENO STREET
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-6033
Mailing Address - Country:US
Mailing Address - Phone:319-512-2150
Mailing Address - Fax:
Practice Address - Street 1:200 HAWKINS DRIVE, CC101 GH
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1069
Practice Address - Country:US
Practice Address - Phone:319-356-1682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20421183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist