Individual
DR. NATHAN BRYAN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1775 LAKESIDE DR, BULLHEAD CITY, AZ 86442-5732
(928) 763-8777
(928) 763-1869
Mailing address
3955 EAGLE ROCK RD, KINGMAN, AZ 86409-3322
(928) 757-0049
(928) 763-1869
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
17111
NV
183500000X
Pharmacist
4730956-1701
UT
183500000X
Pharmacist
Primary
S014877
AZ
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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