Wesley Mark Allen

Individual provider Active NPI Pharmacist · Salisbury, NC

NPI 1407006356 · NPPES record last updated Jan 17, 2012

Key facts

NPI
1407006356
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
21719 (NC)
Practice address
1924 Statesville Blvd
Salisbury, NC 28144-2035
Phone
(704) 636-1616
NPI assigned
Sep 29, 2008
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
21719NCMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21719 NC Yes

Addresses

Primary practice location

1924 Statesville Blvd
Salisbury, NC 28144-2035

Mailing address

120 Ridgewood CT
Salisbury, NC 28146-7878
Phone (704) 239-3486

Other providers in Salisbury, NC

All providers in Salisbury, NC · Pharmacist in North Carolina

Sources for this page

Verify at the official NPI Registry.