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NPI Code Detail

MEDICARE: DR. GAVIN RONALD MURREN PHARMD, RPH

MEDICARE: DR. GAVIN RONALD MURREN PHARMD, RPH
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
1183500000XPharmacistRP459830PA

General Provider Information

NPI Number : 1063384667
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GAVIN RONALD MURREN PHARMD, RPH
Provider Business Mailing Address
First Line : 1321 FOUR LEAF LN
Second Line :
City : HOLLIDAYSBURG
State : PA
Zip : 16648-2510
Country : US
Telephone Number : 717-945-8800
Fax Number :
Provider Business Practice Location Address
First Line : 4200 INDUSTRIAL PARK DR
Second Line :
City : ALTOONA
State : PA
Zip : 16602-1737
Country : US
Telephone Number : 855-265-8008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2025
Last Update Date : 09/22/2025

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