William Andrew Allen, RPH
Individual provider Active NPI Pharmacist · El Centro, CA
NPI 1710499009 · NPPES record last updated Oct 26, 2017
Key facts
- NPI
- 1710499009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 54535 (CA)
- Practice address
- 1692 S 4TH St
El Centro, CA 92243-4747 - Phone
- (760) 353-9000
- Fax
- (760) 353-9888
- NPI assigned
- Oct 26, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54535 | CA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 54535 | CA | Yes |
Addresses
Primary practice location
1692 S 4TH St
El Centro, CA 92243-4747
Mailing address
366 Bryan Point Dr
Chula Vista, CA 91914-5208
Phone (619) 952-7373
Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2017. 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.