Provider Demographics
NPI:1316988074
Name:BROWN, ANGELA ISLEY (PHARMD,)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:ISLEY
Last Name:BROWN
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 1:7900 E NC HIGHWAY 150
Mailing Address - Street 2:
Mailing Address - City:BROWN SUMMIT
Mailing Address - State:NC
Mailing Address - Zip Code:27214-9599
Mailing Address - Country:US
Mailing Address - Phone:336-292-6888
Mailing Address - Fax:336-294-9329
Practice Address - Street 1:803 FRIENDLY CENTER RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-2024
Practice Address - Country:US
Practice Address - Phone:336-292-6888
Practice Address - Fax:336-294-9329
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14907183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist