Provider Demographics
NPI:1710357272
Name:BROWN, MARCUS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:
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 1:9418 LILLIAN LN
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-2216
Mailing Address - Country:US
Mailing Address - Phone:877-826-5488
Mailing Address - Fax:866-920-1597
Practice Address - Street 1:601 GRASSMERE PARK
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-3664
Practice Address - Country:US
Practice Address - Phone:877-826-5488
Practice Address - Fax:866-920-1597
Is Sole Proprietor?:No
Enumeration Date:2015-09-28
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN36050183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist