Individual provider · NPI-1

Dr. Miranda Lane Allen, Pharm D

Pharmacist · Portsmouth, VA

NPI number1184957433
StatusActive
Last updated in NPPESSep 23, 2025

Details

NPI
1184957433
Entity type
Individual (NPI-1)
Name
Dr. Miranda Lane Allen
Credential
Pharm D
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 17, 2009
Certification date
Sep 23, 2025
Last updated
Sep 23, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist0202210317VAYes
183500000X Pharmacist33676TN
183500000X PharmacistE-010562MS

Other names

  • Miranda Ashley Lane (Former Name)

Practice location

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Phone 423-794-6286 · Fax 757-953-0865

Mailing address

2509 Wingfield Rd
Norfolk, VA 23518-4566

Phone 423-794-6286

Other practice locations

1721 Admiral Taussig Blvd
Norfolk, VA 23511

Phone 757-953-8756

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