Provider Demographics
NPI:1770830739
Name:BROWN, LAUREN E (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:E
Last Name:BROWN
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:B
Other - Last Name:POTTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, RPH
Mailing Address - Street 1:525 JAKE ALEXANDER BLVD W
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28147-1370
Mailing Address - Country:US
Mailing Address - Phone:704-216-2070
Mailing Address - Fax:704-216-2074
Practice Address - Street 1:525 JAKE ALEXANDER BLVD W
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28147-1370
Practice Address - Country:US
Practice Address - Phone:704-216-2070
Practice Address - Fax:704-216-2074
Is Sole Proprietor?:No
Enumeration Date:2012-08-09
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22488183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist