Provider Demographics
NPI:1730480419
Name:BROWN, DONALD ALLEN (RPH)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:ALLEN
Last Name:BROWN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 SPRECKELS DR
Mailing Address - Street 2:
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-4522
Mailing Address - Country:US
Mailing Address - Phone:831-234-7512
Mailing Address - Fax:831-689-9020
Practice Address - Street 1:223 SPRECKELS DR
Practice Address - Street 2:
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-4522
Practice Address - Country:US
Practice Address - Phone:831-234-7512
Practice Address - Fax:831-689-9020
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10157183500000X
CA43087183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist