Provider Demographics
NPI:1588953574
Name:BROWN, RAMONA GRETAL (RPH)
Entity type:Individual
Prefix:MS
First Name:RAMONA
Middle Name:GRETAL
Last Name:BROWN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1861 BRIARCREST DR NW
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-6217
Mailing Address - Country:US
Mailing Address - Phone:704-905-8296
Mailing Address - Fax:
Practice Address - Street 1:640 JAKE ALEXANDER BLVD W
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28147-1367
Practice Address - Country:US
Practice Address - Phone:704-636-8852
Practice Address - Fax:704-638-9641
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10882183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist