Provider Demographics
NPI:1659679082
Name:BRITTAN, FRANCIS LANE JR (RPH)
Entity type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:LANE
Last Name:BRITTAN
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:101 GAINSBOROUGH SQ
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-1707
Mailing Address - Country:US
Mailing Address - Phone:757-547-2456
Mailing Address - Fax:757-549-8445
Practice Address - Street 1:101 GAINSBOROUGH SQ
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-1707
Practice Address - Country:US
Practice Address - Phone:757-547-2456
Practice Address - Fax:757-549-8445
Is Sole Proprietor?:No
Enumeration Date:2011-03-09
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0202005967183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist