Provider Demographics
NPI:1366169765
Name:BROWN, MARCI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARCI
Middle Name:
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 1:425 HIGHWAY 255 S
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:GA
Mailing Address - Zip Code:30528-3510
Mailing Address - Country:US
Mailing Address - Phone:706-809-9954
Mailing Address - Fax:706-219-1253
Practice Address - Street 1:184 W KYTLE ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:GA
Practice Address - Zip Code:30528-1330
Practice Address - Country:US
Practice Address - Phone:706-219-2626
Practice Address - Fax:706-219-1253
Is Sole Proprietor?:No
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH032322183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist