Provider Demographics
NPI:1598043960
Name:BROWN, COURTNEY RHIANNON (PHARMD)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:RHIANNON
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 1:11101 EAGLES COVE DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-4819
Mailing Address - Country:US
Mailing Address - Phone:502-419-9031
Mailing Address - Fax:
Practice Address - Street 1:325 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-4254
Practice Address - Country:US
Practice Address - Phone:502-476-9226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-02
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY015634183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist