Provider Demographics
NPI:1720311913
Name:FRENCH, BRIAN JOHN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:JOHN
Last Name:FRENCH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1113 COLLINGWOOD CT
Mailing Address - Street 2:
Mailing Address - City:SHOREWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60404-9411
Mailing Address - Country:US
Mailing Address - Phone:815-729-1040
Mailing Address - Fax:
Practice Address - Street 1:11840 S ROUTE 59
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-5652
Practice Address - Country:US
Practice Address - Phone:815-609-2451
Practice Address - Fax:815-609-2456
Is Sole Proprietor?:No
Enumeration Date:2009-09-07
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.292332183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist