MEDICARE: ADAM J 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	18979	AL

General Provider Information

NPI Number	:	1609362722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM J ALLEN PHARMD

Provider Business Mailing Address
First Line	:	1501 AL HIGHWAY 14 E
Second Line	:
City	:	SELMA
State	:	AL
Zip	:	36703-3201
Country	:	US
Telephone Number	:	334-874-9359
Fax Number	:	334-874-7383

Provider Business Practice Location Address
First Line	:	1501 AL HIGHWAY 14 E
Second Line	:
City	:	SELMA
State	:	AL
Zip	:	36703-3201
Country	:	US
Telephone Number	:	334-874-9359
Fax Number	:	334-874-7383

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

Provider Enumeration Date	:	07/02/2018
Last Update Date	:	07/02/2018

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Directions to “ ADAM J ALLEN PHARMD” Practice Location

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