Individual
WILLIAM JACK ALLEGRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1445 S MAIN ST, OTTAWA, KS 66067-3528
(785) 242-4745
Mailing address
1445 S MAIN ST, OTTAWA, KS 66067-3528
(785) 242-8545
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10241
KS
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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