Individual provider · NPI-1

Amy Kathleen Brown, Pharmacist Clinician

Pharmacist · Costa Mesa, CA

NPI number1497097323
StatusActive
Last updated in NPPESApr 23, 2017

Details

NPI
1497097323
Entity type
Individual (NPI-1)
Name
Amy Kathleen Brown
Credential
Pharmacist Clinician
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 18, 2013
Last updated
Apr 23, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist43131CAYes
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist43131CA

Other names

  • Amy Brown Sorensen (Other Name)

Practice location

1555 Mesa Verde E Dr Apt 58 I
Costa Mesa, CA 92626-2307

Phone 601-813-4955 · Fax 949-679-1905

Mailing address

1555 Mesa Verde E Dr Apt 58 I
Costa Mesa, CA 92626-2307

Phone 601-813-4955 · Fax 949-679-1905

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