Individual
STEVEN CHARLES ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2292 MAIN ST, GREEN BAY, WI 54311-5199
(920) 465-7737
(920) 465-8195
Mailing address
1260 CAROLE LANE, GREEN BAY, WI 54313
(920) 819-1005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10048-40
WI
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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