Organization
ALLEN DRUG INC
Active
Other names
Allen Drug and Variety
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ALLEN (PRESIDENT)
(208) 766-2241
Entity
Organization
Contact information
Practice address
4 N MAIN ST, MALAD CITY, ID 83252-4913
(208) 766-2241
(208) 766-0902
Mailing address
4 N MAIN ST, MALAD CITY, ID 83252-4913
(208) 766-2241
(208) 766-0902
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
145RP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922164292
—
ID
01
—
2020100
PK
—
Enumeration date
12/29/2006
Last updated
04/24/2023
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