Healthcare Provider Details

I. General information

NPI: 1598032534
Provider Name (Legal Business Name): ANTHONY ALLEE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2011
Last Update Date: 11/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3121 S 24TH ST
OMAHA NE
68108-1824
US

IV. Provider business mailing address

3121 S 24TH ST
OMAHA NE
68108-1824
US

V. Phone/Fax

Practice location:
  • Phone: 402-345-7178
  • Fax: 402-345-9817
Mailing address:
  • Phone: 402-345-7178
  • Fax: 402-345-9817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number13397
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number21301
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: