Provider Demographics
NPI:1083219612
Name:BROWN, JOSHUA D (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:D
Last Name:BROWN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3213A REYNOLDS ST
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-3914
Mailing Address - Country:US
Mailing Address - Phone:478-451-7197
Mailing Address - Fax:
Practice Address - Street 1:30 MARKET ST
Practice Address - Street 2:
Practice Address - City:ST SIMONS ISLAND
Practice Address - State:GA
Practice Address - Zip Code:31522-1588
Practice Address - Country:US
Practice Address - Phone:912-634-0357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA030103183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist