Provider Demographics
NPI:1134122807
Name:KAZAN, ALAN ROBERT (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:ROBERT
Last Name:KAZAN
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8730 ARBORHURST LN
Mailing Address - Street 2:
Mailing Address - City:KIRTLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44094-9323
Mailing Address - Country:US
Mailing Address - Phone:440-256-2695
Mailing Address - Fax:216-531-0877
Practice Address - Street 1:1464 E 105TH ST
Practice Address - Street 2:STE 201
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1100
Practice Address - Country:US
Practice Address - Phone:216-721-5776
Practice Address - Fax:216-721-5888
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-109731835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy