IndividualActive
Alex Fan, PHARM. D
NPI 1760084891 · Pharmacist · Meridian, MS
Provider details
- NPI number
- 1760084891
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM. D
- Sex
- Male
- Sole proprietor
- Yes
- License
- E-16629 (MS)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
3310 Ms-39
Meridian, MS 39301
Phone: (601) 286-6859
Approximate (ZIP-level) locationGet directions
Mailing address
200 N Hills St Apt 12d
Meridian, MS 39305-2232
Registry dates
- Enumerated
- 2020-11-13
- Last updated
- 2020-11-13
- Certified
- 2020-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.