Provider Demographics
NPI:1902131949
Name:SILVER, ALAN
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:
Last Name:SILVER
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:ALAN
Other - Middle Name:
Other - Last Name:SILVER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2508 CUTHBERTSON RD
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-7441
Mailing Address - Country:US
Mailing Address - Phone:704-243-0738
Mailing Address - Fax:
Practice Address - Street 1:2508 CUTHBERTSON RD
Practice Address - Street 2:
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173-7441
Practice Address - Country:US
Practice Address - Phone:704-243-0738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-08
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13331183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist