Provider Demographics
NPI:1831422948
Name:BRIEN, DONALD ALAN (R,PH)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:ALAN
Last Name:BRIEN
Suffix:
Gender:M
Credentials:R,PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:211 TABLE ROCK RD
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02879-1827
Mailing Address - Country:US
Mailing Address - Phone:401-741-2083
Mailing Address - Fax:401-722-4817
Practice Address - Street 1:1114 BROAD ST
Practice Address - Street 2:RITE AID PHARMACY
Practice Address - City:CENTRAL FALLS
Practice Address - State:RI
Practice Address - Zip Code:02863-1509
Practice Address - Country:US
Practice Address - Phone:401-722-1897
Practice Address - Fax:401-722-4817
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-09
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH02104183500000X
MA15839183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist