Provider Demographics
NPI:1639518558
Name:BROWN, DANNY R (PHARMD)
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:R
Last Name:BROWN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1714 UTICA SQ
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114-1400
Mailing Address - Country:US
Mailing Address - Phone:918-743-9968
Mailing Address - Fax:918-743-1597
Practice Address - Street 1:1714 UTICA SQ
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74114-1400
Practice Address - Country:US
Practice Address - Phone:918-743-9968
Practice Address - Fax:918-743-1597
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK12237183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist