Provider Demographics
NPI:1114369048
Name:BROWN, ANDREW E (PHARM D)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:E
Last Name:BROWN
Suffix:
Gender:M
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 1:3 HACKETT CIR W
Mailing Address - Street 2:UNIT 4A
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06906-1913
Mailing Address - Country:US
Mailing Address - Phone:774-571-0173
Mailing Address - Fax:
Practice Address - Street 1:3 HACKETT CIR W
Practice Address - Street 2:UNIT 4A
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06906-1913
Practice Address - Country:US
Practice Address - Phone:774-571-0173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-19
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0012002183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist