Provider Demographics
NPI:1497753404
Name:BRIGGS, DOROTHIE CAROLYN
Entity Type:Individual
Prefix:MS
First Name:DOROTHIE
Middle Name:CAROLYN
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4045 LOVING DR
Mailing Address - Street 2:
Mailing Address - City:DUNKIRK
Mailing Address - State:MD
Mailing Address - Zip Code:20754-3038
Mailing Address - Country:US
Mailing Address - Phone:301-855-6145
Mailing Address - Fax:
Practice Address - Street 1:4045 LOVING DR
Practice Address - Street 2:
Practice Address - City:DUNKIRK
Practice Address - State:MD
Practice Address - Zip Code:20754-3038
Practice Address - Country:US
Practice Address - Phone:301-855-6145
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD098861835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy