Provider Demographics
NPI:1598899601
Name:BROWN, JOYCE RENEE (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:RENEE
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 1:568 POPLAR AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38105-4510
Mailing Address - Country:US
Mailing Address - Phone:901-527-2411
Mailing Address - Fax:901-527-2413
Practice Address - Street 1:568 POPLAR AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38105-4510
Practice Address - Country:US
Practice Address - Phone:901-527-2411
Practice Address - Fax:901-527-2413
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10258183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN10258OtherPHARMACIST NUMBER