Individual
MR. ALLEN SHANE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1757 CENTRAL PARK AVE, PATHMARK PHARMACY, YONKERS, NY 10710-2828
(914) 961-2355
(914) 779-4071
Mailing address
6 ARROW LN, NEW CITY, NY 10956-7000
(845) 425-3646
(845) 425-3646
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
025077
NY
Other
Enumeration date
08/01/2005
Last updated
07/08/2007
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