Provider Demographics
NPI:1417177619
Name:PROPST, ALLAN MARION (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:ALLAN
Middle Name:MARION
Last Name:PROPST
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 GARRISON DR
Mailing Address - Street 2:
Mailing Address - City:KINGS MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28086-2619
Mailing Address - Country:US
Mailing Address - Phone:704-739-3432
Mailing Address - Fax:704-739-7288
Practice Address - Street 1:709 W MOUNTAIN ST
Practice Address - Street 2:
Practice Address - City:KINGS MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28086-2711
Practice Address - Country:US
Practice Address - Phone:704-739-7225
Practice Address - Fax:704-739-7288
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC06600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist