Provider Demographics
NPI:1184842742
Name:SINCLAIR, PAMELA BROWN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:BROWN
Last Name:SINCLAIR
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 1:12250 S KIRKWOOD RD APT 811
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-2121
Mailing Address - Country:US
Mailing Address - Phone:281-265-9604
Mailing Address - Fax:
Practice Address - Street 1:5901 AIRLINE DR
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70003-4329
Practice Address - Country:US
Practice Address - Phone:504-734-1954
Practice Address - Fax:504-734-1610
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA14220183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist