Provider Demographics
NPI:1548506074
Name:NEWTON, ALAN DALTON JR (PHARMD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:DALTON
Last Name:NEWTON
Suffix:JR
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 1:2632 FRAYSER BLVD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38127-5829
Mailing Address - Country:US
Mailing Address - Phone:901-353-8284
Mailing Address - Fax:
Practice Address - Street 1:2632 FRAYSER BLVD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38127-5829
Practice Address - Country:US
Practice Address - Phone:901-353-8284
Practice Address - Fax:901-353-8285
Is Sole Proprietor?:No
Enumeration Date:2013-01-03
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35862183500000X, 1835P0018X
MSP11942183500000X
MSE-119421835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist