Provider Demographics
NPI:1912208927
Name:BROWN, SUSAN T (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:T
Last Name:BROWN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10100 N NEWPORT HWY
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-1369
Mailing Address - Country:US
Mailing Address - Phone:509-465-3676
Mailing Address - Fax:509-465-4981
Practice Address - Street 1:10100 N NEWPORT HWY
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1369
Practice Address - Country:US
Practice Address - Phone:509-465-3676
Practice Address - Fax:509-465-4981
Is Sole Proprietor?:No
Enumeration Date:2010-11-07
Last Update Date:2010-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00020947183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist