Provider Demographics
NPI:1982972816
Name:BROWN, BRAYAN ANDREW (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRAYAN
Middle Name:ANDREW
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 1:28469 SW 131ST CT
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-7401
Mailing Address - Country:US
Mailing Address - Phone:786-231-7280
Mailing Address - Fax:
Practice Address - Street 1:13698 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-1039
Practice Address - Country:US
Practice Address - Phone:305-221-4589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS45535183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist