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NPI Code Detail

MEDICARE: MRS. BRANDY GRACE ALLEN RPH

MEDICARE: MRS. BRANDY GRACE ALLEN 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
1183500000XPharmacistRP0012589WV
2183500000XPharmacist9910OR
3183500000XPharmacist244VI
4183500000XPharmacist3072HI
5183500000XPharmacistPS47514FL

General Provider Information

NPI Number : 1407088032
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRANDY GRACE ALLEN RPH
Provider Business Mailing Address
First Line : 1308 4TH AVE
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-2401
Country : US
Telephone Number : 681-529-1313
Fax Number :
Provider Business Practice Location Address
First Line : 1308 4TH AVE
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-2401
Country : US
Telephone Number : 681-529-1313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2009
Last Update Date : 09/13/2021

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Directions to “ MRS. BRANDY GRACE ALLEN RPH” Practice Location

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