Provider Demographics
NPI:1831212893
Name:BROWN, PAULA MICHELE (RPH)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:MICHELE
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 1:4175 S ALAMO AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85707-4402
Mailing Address - Country:US
Mailing Address - Phone:520-228-1922
Mailing Address - Fax:
Practice Address - Street 1:4175 S ALAMO AVE.
Practice Address - Street 2:
Practice Address - City:DAVIS-MONTHAN AIR FORCE BASE
Practice Address - State:AZ
Practice Address - Zip Code:85707-4406
Practice Address - Country:US
Practice Address - Phone:520-228-1922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9911183500000X
NE9216183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist