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NPI Code Detail

MEDICARE: DR. BRIAN KENNETH ALFREDO PHARMD

MEDICARE: DR. BRIAN KENNETH ALFREDO PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist03443743OH

General Provider Information

NPI Number : 1841164761
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN KENNETH ALFREDO PHARMD
Provider Business Mailing Address
First Line : 2949 GRANDVIEW DR
Second Line :
City : FAIRLAWN
State : OH
Zip : 44333-9106
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 30 W MONROE ST STE 1200
Second Line :
City : CHICAGO
State : IL
Zip : 60603-2420
Country : US
Telephone Number : 855-932-2073
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2025
Last Update Date : 10/02/2025

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