Provider Demographics
NPI:1457782088
Name:BROWNE, ANITA (PHARM D)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:
Last Name:BROWNE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4188 CITATION PL
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-5936
Mailing Address - Country:US
Mailing Address - Phone:404-723-7804
Mailing Address - Fax:
Practice Address - Street 1:4188 CITATION PL
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-5936
Practice Address - Country:US
Practice Address - Phone:404-723-7804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-08
Last Update Date:2013-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH016003183500000X
FLPS36104183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist