Provider Demographics
NPI:1578732913
Name:BROWN, CANDACE N (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CANDACE
Middle Name:N
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 1:5 MOORE DR
Mailing Address - Street 2:
Mailing Address - City:RTP
Mailing Address - State:NC
Mailing Address - Zip Code:27709-0143
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5 MOORE DR
Practice Address - Street 2:
Practice Address - City:RTP
Practice Address - State:NC
Practice Address - Zip Code:27709-0143
Practice Address - Country:US
Practice Address - Phone:800-496-3772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS39089183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist