Provider Demographics
NPI:1639458565
Name:BROWN, CHRISTINA ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:ELIZABETH
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 1:260 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:EUNICE
Mailing Address - State:LA
Mailing Address - Zip Code:70535-3338
Mailing Address - Country:US
Mailing Address - Phone:337-457-2218
Mailing Address - Fax:337-457-8098
Practice Address - Street 1:260 N 2ND ST
Practice Address - Street 2:
Practice Address - City:EUNICE
Practice Address - State:LA
Practice Address - Zip Code:70535-3338
Practice Address - Country:US
Practice Address - Phone:337-457-2218
Practice Address - Fax:337-457-8098
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA019475183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist