NPI 1104298520

Alan Marvin

Practitioner Pharmacist Kalispell, MT

Practice location

Address: 170 Hutton Ranch Rd, Kalispell, MT 59901-2107
Phone: (406) 755-3911

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 3952 (MT)

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Registry record

NPI: 1104298520
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Oct 2015
Record last updated: 25 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.