Provider Demographics
NPI:1750895025
Name:BROWN, QUINTIN BROWN CHRISTOPHER CRONIN (PHARMD)
Entity type:Individual
Prefix:
First Name:QUINTIN BROWN
Middle Name:CHRISTOPHER CRONIN
Last Name:BROWN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 BIRCH ST
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70563-1906
Mailing Address - Country:US
Mailing Address - Phone:337-577-5961
Mailing Address - Fax:
Practice Address - Street 1:1150 W SAINT PETER ST
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-3558
Practice Address - Country:US
Practice Address - Phone:337-367-9347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-25
Last Update Date:2017-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.022271183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist