Provider Demographics
NPI:1154326221
Name:LIPSYC, ALAN J (RPH, MBA)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:J
Last Name:LIPSYC
Suffix:
Gender:M
Credentials:RPH, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26025 SHAKER BLVD
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-7107
Mailing Address - Country:US
Mailing Address - Phone:216-292-4646
Mailing Address - Fax:
Practice Address - Street 1:26900 CEDAR RD STE BDN-10
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-1191
Practice Address - Country:US
Practice Address - Phone:216-839-3270
Practice Address - Fax:216-839-3271
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-17306183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist