Provider Demographics
NPI:1306155288
Name:BROWN, KATHRYN PAIGE DICKENS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:PAIGE DICKENS
Last Name:BROWN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
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Mailing Address - Street 1:601 KEMPTON DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-6891
Mailing Address - Country:US
Mailing Address - Phone:252-578-4458
Mailing Address - Fax:910-814-5721
Practice Address - Street 1:205 DAY DORM ROAD RIDDLE BUILDING 2ND FLOOR
Practice Address - Street 2:CAMPBELL UNIVERSITY COLLEGE OF PHARMACY
Practice Address - City:BUIES CREEK
Practice Address - State:NC
Practice Address - Zip Code:27506
Practice Address - Country:US
Practice Address - Phone:910-814-5611
Practice Address - Fax:910-814-5721
Is Sole Proprietor?:No
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC18221183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC18221OtherNORTH CAROLINA BOARD OF PHARMACY LICENSE