Provider Demographics
NPI:1811329444
Name:DEVEREAUX-BROWN, CHERYL DENISE (RPH,MPH)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:DENISE
Last Name:DEVEREAUX-BROWN
Suffix:
Gender:F
Credentials:RPH,MPH
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:DEVEREAUX
Other - Last Name:HAWKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7606 RADIN RD
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-9158
Mailing Address - Country:US
Mailing Address - Phone:704-243-6771
Mailing Address - Fax:
Practice Address - Street 1:2707 CELANESE RD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-9406
Practice Address - Country:US
Practice Address - Phone:803-366-4157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCPH-14051183500000X
NC22933183500000X
MST-07861183500000X
TN0000007426183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist