Provider Demographics
NPI:1134473283
Name:BROWN, SHANA MONROE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SHANA
Middle Name:MONROE
Last Name:BROWN
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 1:2035 HIGHWAY 41
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-6200
Mailing Address - Country:US
Mailing Address - Phone:843-971-2075
Mailing Address - Fax:
Practice Address - Street 1:2035 HIGHWAY 41
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-6200
Practice Address - Country:US
Practice Address - Phone:843-971-2075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-27
Last Update Date:2012-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10591183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist