Healthcare Provider Details

I. General information

NPI: 1013854371
Provider Name (Legal Business Name): MARY GAIL ALLARD PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 GREENLEY RD
SONORA CA
95370-5200
US

IV. Provider business mailing address

2332 JONATHON CT
ESCALON CA
95320-2073
US

V. Phone/Fax

Practice location:
  • Phone: 209-536-3692
  • Fax:
Mailing address:
  • Phone: 209-536-3692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number47188
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: