Provider Demographics
NPI:1578891537
Name:BROWN, ALAN RANDALL (RPH)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:RANDALL
Last Name:BROWN
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 1:16185 SPACE CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-6210
Mailing Address - Country:US
Mailing Address - Phone:281-486-1872
Mailing Address - Fax:281-486-1135
Practice Address - Street 1:16185 SPACE CENTER BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-6210
Practice Address - Country:US
Practice Address - Phone:281-486-1872
Practice Address - Fax:281-486-1135
Is Sole Proprietor?:No
Enumeration Date:2009-12-01
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23949183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist