Provider Demographics
NPI:1083962070
Name:NEAL, ALAN DAVID (RPH)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:DAVID
Last Name:NEAL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39301-4751
Mailing Address - Country:US
Mailing Address - Phone:601-453-2979
Mailing Address - Fax:601-286-5758
Practice Address - Street 1:3500 8TH ST
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39301-4751
Practice Address - Country:US
Practice Address - Phone:601-453-2979
Practice Address - Fax:601-286-5758
Is Sole Proprietor?:No
Enumeration Date:2012-08-22
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-8343183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist