Provider Demographics
NPI:1063384667
Name:MURREN, GAVIN RONALD (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:GAVIN
Middle Name:RONALD
Last Name:MURREN
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 FOUR LEAF LN
Mailing Address - Street 2:
Mailing Address - City:HOLLIDAYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16648-2510
Mailing Address - Country:US
Mailing Address - Phone:717-945-8800
Mailing Address - Fax:
Practice Address - Street 1:4200 INDUSTRIAL PARK DR
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-1737
Practice Address - Country:US
Practice Address - Phone:855-265-8008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP459830183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist