Healthcare Provider Details

I. General information

NPI: 1013903053
Provider Name (Legal Business Name): ARTHUR L ALLEN PHARM. D., CACP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 07/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 LOCUST ST PHARMACY 119
RENO NV
89502-2597
US

IV. Provider business mailing address

15185 WESTERN SPRINGS DR
RENO NV
89521-8487
US

V. Phone/Fax

Practice location:
  • Phone: 775-328-1278
  • Fax:
Mailing address:
  • Phone: 775-852-4970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number11204
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number16900
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: