Individual
DR. EDDIE D ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
659 S PARK DR, BROKEN BOW, OK 74728-5331
(580) 584-5841
(580) 584-5845
Mailing address
659 S PARK DR, PO BOX 997, BROKEN BOW, OK 74728-5331
(580) 584-5841
(580) 584-5845
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8872
OK
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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