Millie Irene Allen, PHARMD
Individual provider Active NPI Pharmacist · Stuttgart, AR
NPI 1760809495 · NPPES record last updated Apr 4, 2014
Key facts
- NPI
- 1760809495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PD00044 (AR)
- Practice address
- 102 E 22ND St
Stuttgart, AR 72160-6716 - Phone
- (870) 672-4790
- Fax
- (870) 672-4793
- NPI assigned
- Mar 19, 2014
- Sex
- Female
- 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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD00044 | AR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD00044 | AR | Yes |
Addresses
Primary practice location
102 E 22ND St
Stuttgart, AR 72160-6716
Mailing address
102 E 22ND St
Stuttgart, AR 72160-6716
Phone (870) 672-4790
Other providers in Stuttgart, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2014. 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.