Individual
BRIAN ETHAN JAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(254) 288-8888
Mailing address
3200 COLONIAL PKWY APT 727, BELTON, TX 76513-5799
(858) 837-4620
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
66308
TX
183500000X
Pharmacist
Primary
PST.022336
LA
Other
Enumeration date
01/08/2018
Last updated
05/31/2026
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