Individual
MR. DUANE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
784 SOUTH CEDAR ST STE E, KALKASKA, MI 49646
(307) 324-5276
(307) 324-5277
Mailing address
429 MUNSON PL APT 8, TRAVERSE CITY, MI 49686-3065
(307) 321-9009
(231) 258-5488
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3817
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770030488
1770030488
WY
05
—
1770030488
—
WY
Enumeration date
09/10/2016
Last updated
07/18/2018
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