MEDICARE: MR. DAVID 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	18532	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	18532	OTHER	NV	NEVADA BOARD OF PHARMACY

General Provider Information

NPI Number	:	1538750757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID ALLEN PHARMD

Provider Business Mailing Address
First Line	:	599 E WILLIAM ST
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89701-4033
Country	:	US
Telephone Number	:	775-885-9928
Fax Number	:	775-885-2397

Provider Business Practice Location Address
First Line	:	599 E WILLIAM ST
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89701-4033
Country	:	US
Telephone Number	:	775-885-9928
Fax Number	:	775-885-2397

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

Provider Enumeration Date	:	01/30/2021
Last Update Date	:	05/18/2026

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