Provider Demographics
NPI:1073744835
Name:BROWN, VANESSA ANN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:VANESSA
Middle Name:ANN
Last Name:BROWN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4405 CLUB CIR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-6917
Mailing Address - Country:US
Mailing Address - Phone:205-261-8520
Mailing Address - Fax:
Practice Address - Street 1:3965 CROSSHAVEN DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-5417
Practice Address - Country:US
Practice Address - Phone:205-969-0767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-28
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33798183500000X
AL16198183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist