Provider Demographics
NPI:1477525228
Name:BROWN, DANA AYSCUE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:AYSCUE
Last Name:BROWN
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 1:1340 MYSTIC WAY
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-5616
Mailing Address - Country:US
Mailing Address - Phone:561-422-0784
Mailing Address - Fax:
Practice Address - Street 1:200 2ND ST
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-4702
Practice Address - Country:US
Practice Address - Phone:561-803-2734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 403411835P1200X
FLPS403411835N1003X, 1835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Not Answered1835N1003XPharmacy Service ProvidersPharmacistNutrition Support
Not Answered1835G0303XPharmacy Service ProvidersPharmacistGeriatric