Provider Demographics
NPI:1861188690
Name:BROWN, ZACHARY HARRISON (PHARMD)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:HARRISON
Last Name:BROWN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13911 NINE EAGLES DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-3004
Mailing Address - Country:US
Mailing Address - Phone:813-814-4285
Mailing Address - Fax:
Practice Address - Street 1:13911 NINE EAGLES DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-3004
Practice Address - Country:US
Practice Address - Phone:813-814-4285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL65513183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist