Individual
ALEX FAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
3310 MS-39, MERIDIAN, MS 39301
(601) 286-6859
Mailing address
200 N HILLS ST APT 12D, MERIDIAN, MS 39305-2232
(601) 447-2941
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-16629
MS
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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