Provider Demographics
NPI:1619578200
Name:WALME-BROWN, MAUREEN EVELYN (PHARMD)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:EVELYN
Last Name:WALME-BROWN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MAUREEN
Other - Middle Name:EVELYN
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4413 BLUESTEM ST
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-1123
Mailing Address - Country:US
Mailing Address - Phone:301-655-1850
Mailing Address - Fax:
Practice Address - Street 1:100 S RYAN DR
Practice Address - Street 2:
Practice Address - City:RED OAK
Practice Address - State:TX
Practice Address - Zip Code:75154-4214
Practice Address - Country:US
Practice Address - Phone:972-515-2066
Practice Address - Fax:972-515-2063
Is Sole Proprietor?:No
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44709183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist