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General NPI Number Information
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NPI Number | 1053505669
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Entity Type | Organization
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Legal Business Name | ALLEN DRUGS
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 08/28/2007
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Provider Practice Location Address
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Address Line | 699 S MILL AVE STE 110
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City | TEMPE
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State | AZ
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Zip | 85281-3674
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Country | US
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Telephone | 480-844-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 699 S MILL AVE STE 110
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City | TEMPE
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State | AZ
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Zip | 85281-3674
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Country | US
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Telephone | 480-844-1600
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROGER W ALLEN
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Credential | PHARM.D
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Telephone | 480-844-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 004844
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License Number State | AZ
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