Healthcare Provider Details

I. General information

NPI: 1720333610
Provider Name (Legal Business Name): ALLEN JEFFREY DENTON RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2012
Last Update Date: 12/14/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E IRON AVE
SALINA KS
67401-3035
US

IV. Provider business mailing address

601 E IRON AVE
SALINA KS
67401-3035
US

V. Phone/Fax

Practice location:
  • Phone: 785-827-4455
  • Fax: 785-493-0583
Mailing address:
  • Phone: 785-827-4455
  • Fax: 785-493-0583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8409
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: