Provider Demographics
NPI:1609581396
Name:BROWN, MARGARETTA R D (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MARGARETTA
Middle Name:R D
Last Name:BROWN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10574 ESTATE BARREN SPOT
Mailing Address - Street 2:
Mailing Address - City:KINGSHILL
Mailing Address - State:VI
Mailing Address - Zip Code:00850
Mailing Address - Country:US
Mailing Address - Phone:340-773-8309
Mailing Address - Fax:786-272-0436
Practice Address - Street 1:THE VILLAGE MALL BAY 8
Practice Address - Street 2:PLOT 113 ESTATE BARREN SPOT
Practice Address - City:KINGSHILL
Practice Address - State:VI
Practice Address - Zip Code:00850
Practice Address - Country:US
Practice Address - Phone:340-773-8309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI157183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist