Individual
DEBRA MAE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5018 E PIERCETON RD, PIERCETON, IN 46562-9356
(574) 594-5866
Mailing address
5018 E PIERCETON RD, PIERCETON, IN 46562-9356
(574) 594-5866
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13744
OK
183500000X
Pharmacist
Primary
26014520A
IN
183500000X
Pharmacist
PD10266
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13744
STATE LICENSE NUMBER
OK
01
—
26014520A
STATE LICENSE NUMBER
IN
01
—
PD10266
STATE LICENSE NUMBER
AR
Enumeration date
08/05/2006
Last updated
07/08/2007
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