Provider Demographics
NPI:1700948775
Name:BRITTON, ANDREW E (PHARM D, MBA)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:E
Last Name:BRITTON
Suffix:
Gender:M
Credentials:PHARM D, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3393 16TH ST
Mailing Address - Street 2:
Mailing Address - City:WYANDOTTE
Mailing Address - State:MI
Mailing Address - Zip Code:48192-6107
Mailing Address - Country:US
Mailing Address - Phone:734-624-5584
Mailing Address - Fax:
Practice Address - Street 1:2799 W GRAND BLVD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202
Practice Address - Country:US
Practice Address - Phone:313-916-1666
Practice Address - Fax:313-916-7444
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302032045183500000X
FLPS39170183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist