Loretta Brown
Individual provider Active NPI Pharmacist · Yuma, AZ
NPI 1003229634 · NPPES record last updated Jun 11, 2014
Key facts
- NPI
- 1003229634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 7613 (AZ)
- Practice address
- 1450 S Yuma Palms Pkwy
Target
Yuma, AZ 85365 - Phone
- (928) 785-7777
- NPI assigned
- Jun 11, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7613 | AZ | MD | Pharmacist |
| 32470 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7613 | AZ | Yes |
| Pharmacist | 183500000X | 32470 | CA |
Addresses
Primary practice location
1450 S Yuma Palms Pkwy
Target
Yuma, AZ 85365
Mailing address
680 S 9TH Ave
Yuma, AZ 85364-2924
Phone (928) 785-7777
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.