Provider Demographics
NPI:1831858539
Name:BROWN, ROBERT DANIEL (PHARM D)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:DANIEL
Last Name:BROWN
Suffix:
Gender:M
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 1:2532 JIBE DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32507-7983
Mailing Address - Country:US
Mailing Address - Phone:304-888-4600
Mailing Address - Fax:
Practice Address - Street 1:CVS #5249
Practice Address - Street 2:3888 HWY 90
Practice Address - City:PACE
Practice Address - State:FL
Practice Address - Zip Code:32571
Practice Address - Country:US
Practice Address - Phone:850-994-2229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS62438183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist