Rebecca Ann Allen, PHARMD
Individual provider Active NPI Pharmacist · Canton, MI
NPI 1184919086 · NPPES record last updated Jun 20, 2011
Key facts
- NPI
- 1184919086
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302039936 (MI)
- Practice address
- 43670 Ford Rd
T-0354
Canton, MI 48187-3101 - Phone
- (734) 454-2507
- Fax
- (734) 454-2507
- NPI assigned
- Jun 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302039936 | MI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302039936 | MI | Yes |
Addresses
Primary practice location
43670 Ford Rd
T-0354
Canton, MI 48187-3101
Mailing address
43670 Ford Rd
T-0354
Canton, MI 48187-3101
Phone (734) 454-2507
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.