Individual
TAYLOR DEAN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1114 LAFAYETTE AVE, MOUNDSVILLE, WV 26041-2313
(304) 845-0504
Mailing address
1130 NATIONAL RD APT 9, WHEELING, WV 26003-5711
(740) 630-7200
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03440358
OH
183500000X
Pharmacist
Primary
RP0012286
WV
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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