MEDICARE: DR. DENNIS ALLEN PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PH00052860	WA

General Provider Information

NPI Number	:	1497011191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENNIS ALLEN PHARM.D.

Provider Business Mailing Address
First Line	:	11 GRANT RD
Second Line	:
City	:	EAST WENATCHEE
State	:	WA
Zip	:	98802-5328
Country	:	US
Telephone Number	:	509-881-2833
Fax Number	:	509-881-2827

Provider Business Practice Location Address
First Line	:	11 GRANT RD
Second Line	:
City	:	EAST WENATCHEE
State	:	WA
Zip	:	98802-5328
Country	:	US
Telephone Number	:	509-881-2833
Fax Number	:	509-881-2827

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2012
Last Update Date	:	04/06/2012

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