Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALLEN ELLIOTT LANE, RPH.
Active Sole ProprietorAmbulatory Care Pharmacist · MOSS POINT, MS
Registration Details
- NPI Number
- 1801488846
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 10, 2021 (5.1938197479549 yrs)
- Last Updated
- Feb 10, 2021
- License
-
E-07228 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4931 MAIN STMOSS POINT, MS, 395632746Browse MS providers · Browse ZIP 39563
- Phone
- 2284744663
- Fax
- 2284745545
- Primary Specialty
-
Ambulatory Care Pharmacist
1835P2201X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.