Provider Demographics
NPI:1639427701
Name:BROWN, EMILY K (PHARM D)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:K
Last Name:BROWN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2047 SHERIDAN DR
Mailing Address - Street 2:RITE AID PHARMACY
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14223-1432
Mailing Address - Country:US
Mailing Address - Phone:716-873-7813
Mailing Address - Fax:
Practice Address - Street 1:2047 SHERIDAN DR
Practice Address - Street 2:RITE AID PHARMACY
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14223-1432
Practice Address - Country:US
Practice Address - Phone:716-873-7813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-21
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYI056954-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist