Provider Demographics
NPI:1679589022
Name:KAHAN, BRIAN ALDEN (RPH)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:ALDEN
Last Name:KAHAN
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 1:1800 NW CORPORATE BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431
Mailing Address - Country:US
Mailing Address - Phone:561-213-0262
Mailing Address - Fax:561-893-0999
Practice Address - Street 1:1800 NW CORPORATE BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431
Practice Address - Country:US
Practice Address - Phone:561-213-0262
Practice Address - Fax:561-893-0999
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD83841835P1200X
CO127261835P1200X
FL156721835P1200X
FL14321835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy