Individual
JOSHUA JACK ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9951 W ST LUKES DR, NAMPA, ID 83687-7914
(208) 467-6700
Mailing address
9951 W ST LUKES DR, NAMPA, ID 83687-7914
(208) 467-6700
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6520
ID
Other
Enumeration date
11/02/2011
Last updated
07/27/2026
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