Allen Pharmacy Services Inc

Organization Active NPI Community/Retail Pharmacy · Saint Anthony, ID

NPI 1194736694 · NPPES record last updated May 20, 2016

Key facts

NPI
1194736694
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
1740CP (ID)
Legal business name
ALLEN PHARMACY SERVICES INC
Practice address
23 N Bridge St
Saint Anthony, ID 83445-2110
Phone
(208) 624-3202
Fax
(208) 624-3760
NPI assigned
Aug 10, 2006
Organization subpart
No

Authorized official

Name
Paul Allen
Title
Owner
Phone
(208) 624-3202

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 1740CP ID Yes

Addresses

Primary practice location

23 N Bridge St
Saint Anthony, ID 83445-2110

Mailing address

23 N Bridge St
Saint Anthony, ID 83445-2110
Phone (208) 624-3202

Other identifiers

IdentifierTypeStateIssuer
2020328OtherPK
806508200MedicaidID

Other names

  • FALLS DRUG AND HARDWARE Doing business as

Other providers in Saint Anthony, ID

All providers in Saint Anthony, ID · Community/Retail Pharmacy in Idaho

Sources for this page

Verify at the official NPI Registry.