Provider Demographics
NPI:1619399391
Name:BROOKS, BRITTANY CHRISTINE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:CHRISTINE
Last Name:BROOKS
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 1:15253 MANCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63011-4604
Mailing Address - Country:US
Mailing Address - Phone:636-227-5828
Mailing Address - Fax:
Practice Address - Street 1:15253 MANCHESTER RD
Practice Address - Street 2:
Practice Address - City:BALLWIN
Practice Address - State:MO
Practice Address - Zip Code:63011-4604
Practice Address - Country:US
Practice Address - Phone:636-227-5828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-14
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013037626183500000X
KS1-16259183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist