Provider Demographics
NPI:1386726339
Name:BROWN, SHAWN SCOTT (PHARMD)
Entity type:Individual
Prefix:
First Name:SHAWN
Middle Name:SCOTT
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 1:780 NE 69TH ST
Mailing Address - Street 2:#1804
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33138-5743
Mailing Address - Country:US
Mailing Address - Phone:305-758-2034
Mailing Address - Fax:
Practice Address - Street 1:11030 NW 7TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33168-2110
Practice Address - Country:US
Practice Address - Phone:305-756-9552
Practice Address - Fax:305-756-9569
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS37294183500000X
LA017131183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist