Provider Demographics
NPI:1669523551
Name:BROWN, ALAN RICHARD (R PH)
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:RICHARD
Last Name:BROWN
Suffix:
Gender:M
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 FAIRVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:WOODCLIFF LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07677-7934
Mailing Address - Country:US
Mailing Address - Phone:201-573-9205
Mailing Address - Fax:
Practice Address - Street 1:195 MAIN ST
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928-2405
Practice Address - Country:US
Practice Address - Phone:973-635-6200
Practice Address - Fax:973-635-6208
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01287700183500000X, 1835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835X0200XPharmacy Service ProvidersPharmacistOncology