Organization
DR ALLENS DRUGSTORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY ALLEN PHARMD (OWNER)
(480) 251-6363
Entity
Organization
Contact information
Practice address
1106 N GILBERT RD, STE 1, MESA, AZ 85203-5136
(480) 844-1600
(480) 844-1601
Mailing address
PO BOX 31084, MESA, AZ 85275-1084
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4617
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0354338
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/10/2006
Last updated
08/22/2020
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