Individual
ANN A ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1315 JAMBALANA LN, FORT MYERS, FL 33901-8807
(239) 362-0791
Mailing address
1315 JAMBALANA LN, FORT MYERS, FL 33901-8807
(239) 362-0791
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS0030720
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS0030720
PHARMACIST LICENSE
FL
Enumeration date
05/13/2009
Last updated
05/13/2009
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