Provider Demographics
NPI:1699066100
Name:HARPER BROWN, DEBORAH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:
Last Name:HARPER 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 1:6229 MICHAEL LN
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-2080
Mailing Address - Country:US
Mailing Address - Phone:708-720-0924
Mailing Address - Fax:708-720-0940
Practice Address - Street 1:333 DIXIE HIGHWAY
Practice Address - Street 2:
Practice Address - City:CHICAGO HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60411-1790
Practice Address - Country:US
Practice Address - Phone:708-709-6595
Practice Address - Fax:708-709-6392
Is Sole Proprietor?:No
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0510348761835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist