NPI 1053693424

Monikka Brown, PHARMD

Practitioner Pharmacist Mableton, GA

Practice location

Address: 855 Veterans Memorial Hwy SE, Mableton, GA 30126-2733
Phone: (770) 819-7869
Fax: (770) 819-8395
Mailing address: 6347 Steepleridge CT, Riverdale, GA 30296-2740

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH024808 (GA)

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Registry record

NPI: 1053693424
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Sep 2011
Record last updated: 12 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.