MEDICARE: DR. MARVIN ALLEN 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
1	183500000X	Pharmacist	16198	NC

General Provider Information

NPI Number	:	1225388796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARVIN ALLEN PHARMD.

Provider Business Mailing Address
First Line	:	2432 CHINKAPIN CT
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28054-3870
Country	:	US
Telephone Number	:	980-322-4110
Fax Number	:

Provider Business Practice Location Address
First Line	:	2432 CHINKAPIN CT
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28054-3870
Country	:	US
Telephone Number	:	980-322-4110
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2012
Last Update Date	:	04/06/2026

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Directions to “ DR. MARVIN ALLEN PHARMD.” Practice Location

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