Most Relevant Information
Provider Data
| NPI Number: | 1003466152 |
| Provider Name: | SHANTELL MONIQUE BROWN |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PS32520 |
Most Important Dates
| Enumeration Date: | 09/19/2019 |
| Last Updated: | 09/19/2019 |
Provider Practice Location
655 W 8TH ST
JACKSONVILLE
FL
322096511
Practice Location Phone/Fax
| Phone: | 9042445774 |
| Fax: | 9042443752 |
Provider Mailing Location
655 W 8TH ST
JACKSONVILLE
FL
322096511
Provider Mailing Phone/Fax
| Phone: | 9042445774 |
| Fax: | 9042443752 |