Organization
ALLEN PHARMACY SERVICE
Active
Organization
ALLEN PHARMACY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL A ALLEN (PRESIDENT)
(208) 624-3202
Entity
Organization
Contact information
Practice address
23 N BRIDGE ST, SAINT ANTHONY, ID 83445-2110
(208) 624-3202
(208) 624-3760
Mailing address
23 N BRIDGE ST, SAINT ANTHONY, ID 83445-2110
(208) 624-3202
(208) 624-3760
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
322B00000X
ID
Other
Enumeration date
10/24/2006
Last updated
08/22/2020
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