Provider Demographics
NPI:1427012319
Name:BROOKE, MARGARET MARYANNA (PHARMD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARYANNA
Last Name:BROOKE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2681 DIBERVILLE DR N
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-3632
Mailing Address - Country:US
Mailing Address - Phone:251-634-3274
Mailing Address - Fax:
Practice Address - Street 1:2681 DIBERVILLE DR N
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-3632
Practice Address - Country:US
Practice Address - Phone:251-634-3274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-17
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15082183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist