Provider Demographics
NPI:1396154498
Name:BROWN, SOLIE B (RPH)
Entity type:Individual
Prefix:MRS
First Name:SOLIE
Middle Name:B
Last Name:BROWN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:SOLIE
Other - Middle Name:ANN
Other - Last Name:BADEAUX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:36438 PERKINS RD
Mailing Address - Street 2:
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769-3206
Mailing Address - Country:US
Mailing Address - Phone:225-673-9096
Mailing Address - Fax:
Practice Address - Street 1:18111 HIGHLAND MARKET DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-3935
Practice Address - Country:US
Practice Address - Phone:225-615-7996
Practice Address - Fax:225-615-7998
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-04
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.015278183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist