Individual
JEFFREY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4600 E MAIN ST, FARMINGTON, NM 87402-8603
(505) 326-1197
Mailing address
4600 E MAIN ST, FARMINGTON, NM 87402-8603
(053) 261-1975
(505) 325-9822
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0020876
CO
183500000X
Pharmacist
22537
IA
183500000X
Pharmacist
Primary
RP00009829
NM
Other
Enumeration date
08/12/2015
Last updated
05/16/2023
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