Provider Demographics
NPI:1811685621
Name:DEJOHNETTE, BRITTANY (PHARMD)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:DEJOHNETTE
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 1:4322 BOYNTON DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-4317
Mailing Address - Country:US
Mailing Address - Phone:832-472-7827
Mailing Address - Fax:
Practice Address - Street 1:4322 BOYNTON DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-4317
Practice Address - Country:US
Practice Address - Phone:832-472-7827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-28
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX57265183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty