Provider Demographics
NPI:1770811432
Name:GARRETT, PAMELA BROWN (RPH)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:BROWN
Last Name:GARRETT
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 1:2104 E NC HIGHWAY 54
Mailing Address - Street 2:WALGREENS #12728
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-2206
Mailing Address - Country:US
Mailing Address - Phone:919-361-5304
Mailing Address - Fax:919-806-0851
Practice Address - Street 1:2104 E NC HIGHWAY 54
Practice Address - Street 2:WALGREENS #12728
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-2206
Practice Address - Country:US
Practice Address - Phone:919-361-5304
Practice Address - Fax:919-806-0851
Is Sole Proprietor?:No
Enumeration Date:2009-11-18
Last Update Date:2011-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18262183500000X
FLPS30640183500000X
GARPH20107183500000X
SC8990183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist