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NPI Code Detail

MEDICARE: MICHAEL R ALLEN R.PH

MEDICARE:   MICHAEL R ALLEN  R.PH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistP4635ID

General Provider Information

NPI Number : 1497753065
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL R ALLEN R.PH
Provider Business Mailing Address
First Line : 3768 E FELIX BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85706-1926
Country : US
Telephone Number : 520-777-3333
Fax Number : 520-777-3333
Provider Business Practice Location Address
First Line : HWY 86 AND TOPAWA RD
Second Line :
City : SELLS
State : AZ
Zip : 85634
Country : US
Telephone Number : 520-383-7342
Fax Number : 520-383-7343
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 07/08/2007

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Directions to “ MICHAEL R ALLEN R.PH” Practice Location

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