Kamarisha Brown, CPHT

Individual provider Active NPI Pharmacy Technician · Ferguson, MO

NPI 1114649969 · NPPES record last updated Sep 16, 2022

Key facts

NPI
1114649969
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
2016017818 (MO)
Practice address
190 N Florissant Rd
Ferguson, MO 63135-1942
Phone
(314) 521-4518
Fax
(314) 524-6214
NPI assigned
Sep 16, 2022
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

LicenseStateTypeSpecialty
2016017818MOMDPharmacy Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 2016017818 MO Yes

Addresses

Primary practice location

190 N Florissant Rd
Ferguson, MO 63135-1942

Mailing address

226 Chapel Ridge Dr Apt B
Hazelwood, MO 63042-2642
Phone (314) 853-6629

Other providers in Ferguson, MO

All providers in Ferguson, MO · Pharmacy Technician in Missouri

Sources for this page

Verify at the official NPI Registry.