Provider Demographics
NPI:1518582170
Name:BROWN, ALYSON KAY (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:ALYSON
Middle Name:KAY
Last Name:BROWN
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 PLANTATION RD
Mailing Address - Street 2:
Mailing Address - City:NORTH
Mailing Address - State:VA
Mailing Address - Zip Code:23128-2037
Mailing Address - Country:US
Mailing Address - Phone:804-694-9109
Mailing Address - Fax:
Practice Address - Street 1:9976 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23605-1057
Practice Address - Country:US
Practice Address - Phone:757-599-9626
Practice Address - Fax:757-599-8460
Is Sole Proprietor?:No
Enumeration Date:2020-06-10
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202216799183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist