Provider Demographics
NPI:1548714637
Name:BROWN, ALAN LAWSON (RPH)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:LAWSON
Last Name:BROWN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:641 TREMONT ST W
Mailing Address - Street 2:
Mailing Address - City:PORT ORCHARD
Mailing Address - State:WA
Mailing Address - Zip Code:98366-3747
Mailing Address - Country:US
Mailing Address - Phone:970-215-9799
Mailing Address - Fax:
Practice Address - Street 1:23940 NE STATE ROUTE 3
Practice Address - Street 2:
Practice Address - City:BELFAIR
Practice Address - State:WA
Practice Address - Zip Code:98528-9697
Practice Address - Country:US
Practice Address - Phone:360-275-8964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-07
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY3929183500000X
WAPH.60683167183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist