Provider Demographics
NPI:1447562947
Name:BROWN, CHANDRA VANESSA (PHARMACIST)
Entity type:Individual
Prefix:
First Name:CHANDRA
Middle Name:VANESSA
Last Name:BROWN
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7440 FM 1960 EAST
Mailing Address - Street 2:7440 FM 1960 EAST
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346
Mailing Address - Country:US
Mailing Address - Phone:281-852-8088
Mailing Address - Fax:281-812-0701
Practice Address - Street 1:7440 FM 1960 EAST
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346
Practice Address - Country:US
Practice Address - Phone:281-852-8088
Practice Address - Fax:281-812-0701
Is Sole Proprietor?:No
Enumeration Date:2010-07-13
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31179183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist