Provider Demographics
NPI:1477549582
Name:BROWN, SHERRY A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:A
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 1:101 NIGHT HERON LN
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-1725
Mailing Address - Country:US
Mailing Address - Phone:949-916-2290
Mailing Address - Fax:949-916-6859
Practice Address - Street 1:101 NIGHT HERON LN
Practice Address - Street 2:
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-1725
Practice Address - Country:US
Practice Address - Phone:949-916-2290
Practice Address - Fax:949-916-6859
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51591183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist