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Individual

REBECCA K ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMACIST

Contact information

Practice address
1237 32ND ST, PORT HURON, MI 48060-7323
(810) 982-5791
Mailing address
5328 FRED J BAKER LANE, NORTH STREET, MI 48049
(810) 790-0626

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
5302030583
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5302030583
PHARMACY LICENSE NUMBER
MI
Enumeration date
08/22/2018
Last updated
08/22/2018
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