Individual
MR. JEFFREY LEE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2920 HIGHWAY K, O FALLON, MO 63368-7861
(636) 240-5077
(636) 978-2162
Mailing address
4 TINDERBOX CT, O FALLON, MO 63368-8266
(636) 240-2601
(636) 978-2162
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043104
MO
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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