Organization
ALLEGRE REXALL DRUGS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER C ALLEGRE R.PH. (PRESIDENT)
(620) 256-6122
Entity
Organization
Contact information
Practice address
6 WEST BROADWAY ST., LEBO, KS 66856-0025
(620) 256-6122
Mailing address
PO BOX 25, 6 WEST BROADWAY ST., LEBO, KS 66856-0025
(620) 256-6122
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
208148
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1703734
NCPDP NUMBER
KS
01
—
208148
STATE PHARMACY LICENSE
KS
Enumeration date
03/22/2007
Last updated
08/22/2020
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