MEDICARE: ALLEN INVESTORS AND PHARMACY FIRST CO LLC

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	3336C0003X	Community/Retail Pharmacy	PH 23712	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1040574	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1558515734
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLEN INVESTORS AND PHARMACY FIRST CO LLC

Provider Business Mailing Address
First Line	:	PO BOX 48795
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33646-0124
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7229 N DALE MABRY HWY
Second Line	:	STE 7
City	:	TAMPA
State	:	FL
Zip	:	33614-2699
Country	:	US
Telephone Number	:	813-374-2416
Fax Number	:	813-374-2417

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	TIMOTHY ALLEN
Credential	:
Telephone Number	:	813-390-7126

Provider Enumeration Date	:	11/14/2008
Last Update Date	:	01/20/2009

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