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NPI Code Detail

MEDICARE: CYNTHIA JEAN ALLEN PHARMD

MEDICARE:   CYNTHIA JEAN ALLEN  PHARMD
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
1183500000XPharmacist14608OK

General Provider Information

NPI Number : 1508373937
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA JEAN ALLEN PHARMD
Provider Business Mailing Address
First Line : 2257 E 32ND ST
Second Line :
City : TULSA
State : OK
Zip : 74105-2215
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2110 S HARVARD AVE
Second Line :
City : TULSA
State : OK
Zip : 74114-1918
Country : US
Telephone Number : 918-749-5438
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2018
Last Update Date : 01/08/2018

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Directions to “ CYNTHIA JEAN ALLEN PHARMD” Practice Location

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