Holly Brown
Individual provider Active NPI Pharmacist · Bethlehem, GA
NPI 1437520145 · NPPES record last updated Oct 8, 2015
Key facts
- NPI
- 1437520145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH017529 (GA)
- Practice address
- 916 Loganville Hwy
Ste 200
Bethlehem, GA 30620-2144 - Phone
- (770) 307-1637
- NPI assigned
- Oct 8, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| RPH017529 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Super Markets Inc | Past | Accepting new patients | |
| Publix Super Markets Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH017529 | GA | Yes |
Addresses
Primary practice location
916 Loganville Hwy
Ste 200
Bethlehem, GA 30620-2144
Mailing address
993 Riverbend Pkwy
Athens, GA 30605-2674
Phone (706) 543-2671
Other providers in Bethlehem, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2015. 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.