Provider Demographics
NPI:1699389833
Name:DRAKE GAUS, BROOKLYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BROOKLYNN
Middle Name:
Last Name:DRAKE GAUS
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 1:334 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4841
Mailing Address - Country:US
Mailing Address - Phone:561-596-7323
Mailing Address - Fax:
Practice Address - Street 1:4105 S STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33449-8145
Practice Address - Country:US
Practice Address - Phone:561-207-3471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-04
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP446455183500000X
FLPU8188183500000X
FLPS47188183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist