Healthcare Provider Details

I. General information

NPI: 1699680744
Provider Name (Legal Business Name): JOHN PATRICK ALLEN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 SYLVAN ST STE B102
DANVERS MA
01923-2764
US

IV. Provider business mailing address

1 TOWN HOUSE LN APT 2
ACTON MA
01720-3729
US

V. Phone/Fax

Practice location:
  • Phone: 978-774-7566
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberH1003969
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: